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General NPI Number Information
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NPI Number | 1740579184
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Entity Type | Organization
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Legal Business Name | TRAPEX FAMILY CENTER, INC.
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 4600 W COMMERCIAL BLVD SUITE# 6
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City | TAMARAC
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State | FL
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Zip | 33319-3307
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Country | US
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Telephone | 954-533-1165
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Fax | 954-533-1507
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Provider Business Mailing Address
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Address Line | 4600 W COMMERCIAL BLVD SUITE #6
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City | TAMARAC
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State | FL
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Zip | 33319-3307
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Country | US
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Telephone | 954-533-1165
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Fax | 954-533-1507
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RONALD VIRGIL
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Credential |
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Telephone | 954-533-1165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | HCC8645
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License Number State | FL
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