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General NPI Number Information
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NPI Number | 1760896187
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Entity Type | Organization
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Legal Business Name | TRANSFORMING CHILDREN AND FAMILIES LLC
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 06/13/2014
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Provider Practice Location Address
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Address Line | 1350 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32804-7119
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Country | US
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Telephone | 789-209-9626
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Fax |
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Provider Business Mailing Address
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Address Line | 10321 PARK COMMONS DR
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City | ORLANDO
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State | FL
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Zip | 32832-7038
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHARDAY MOORE
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Credential |
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Telephone | 336-486-2251
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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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