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General NPI Number Information
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NPI Number | 1689210890
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Entity Type | Organization
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Legal Business Name | TOMORROW'S RAINBOW, INC.
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Dates
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Enumeration Date | 11/22/2019
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 4341 NW 39TH AVE
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3419
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Country | US
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Telephone | 954-978-2390
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Fax | 561-948-4113
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Provider Business Mailing Address
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Address Line | 4341 NW 39TH AVE
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3419
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Country | US
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Telephone | 549-782-3909
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/CEO
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Name | ABBY MOSHER
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Credential |
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Telephone | 954-978-2390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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