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General NPI Number Information
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NPI Number | 1750620605
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Entity Type | Organization
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Legal Business Name | INNOVATIVE INVESTORS HOLDINGS CORP
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 02/12/2013
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Provider Practice Location Address
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Address Line | 15246 SW 21ST PL
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City | MIRAMAR
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State | FL
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Zip | 33027-4384
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Country | US
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Telephone | 954-862-7012
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Fax | 954-449-0294
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Provider Business Mailing Address
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Address Line | 9000 SHERIDAN ST SUITE 11
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-8802
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Country | US
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Telephone | 954-862-7012
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Fax | 954-449-0294
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Authorized Official
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Title or Position | CO-FOUNDER / DIRECTOR
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Name | MRS. MARIAN JEANETTE GARCIA
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Credential | M.S., LMFT
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Telephone | 305-519-4741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT2692
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License Number State | FL
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