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General NPI Number Information
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NPI Number | 1699430959
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Entity Type | Organization
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Legal Business Name | GREATER CHANGES TECHNOLOGIES
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 2205 CHURCH ST STE 102
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City | CHRISTIANSTED
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State | VI
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Zip | 00820-5060
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Country | US
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Telephone | 340-277-3079
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Fax |
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Provider Business Mailing Address
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Address Line | 441 N CENTRAL AVE STE 1007
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City | OVIEDO
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State | FL
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Zip | 32765-7423
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Country | US
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Telephone | 340-277-3079
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Fax |
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Authorized Official
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Title or Position | CO FOUNDER
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Name | TAMARA MOHAMMED
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Credential |
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Telephone | 305-479-6782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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