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General NPI Number Information
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NPI Number | 1760802185
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Entity Type | Organization
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Legal Business Name | LAKSHMI SUBRAHMANIAN, MS, LMHC, PA
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 1750 N UNIVERSITY DR SUITE 201
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-8903
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Country | US
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Telephone | 954-755-7091
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Fax |
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Provider Business Mailing Address
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Address Line | 11851 NW 10TH PL
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-5047
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Country | US
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Telephone | 954-655-7040
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAKSHMI SUBRAHMANIAN
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Credential | LMHC
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Telephone | 955-655-7040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | MH5814
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License Number State | FL
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