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General NPI Number Information
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NPI Number | 1720521388
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Entity Type | Organization
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Legal Business Name | LTB INSTITUTE FOR EMPOWERMENT CHOICES, LLC.
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 6447 MIAMI LAKES DR E STE 104
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2706
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Country | US
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Telephone | 305-965-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 19110 NE 1ST AVE
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City | MIAMI
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State | FL
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Zip | 33179-3213
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Country | US
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Telephone | 305-965-5777
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE PROPRIETOR
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Name | DR. NINA LYNETTE OCE
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Credential | PH.D.
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Telephone | 30596555777
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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 | MH11531
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License Number State | FL
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