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General NPI Number Information
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NPI Number | 1780026153
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Entity Type | Individual
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Provider Name | RICLAIR GILOT M.S., L.C.M.H.C.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 10240 SW 20TH ST
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City | MIRAMAR
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State | FL
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Zip | 33025-1779
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Country | US
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Telephone | 954-443-5826
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Fax |
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Provider Business Mailing Address
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Address Line | 10240 SW 20TH ST
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City | MIRAMAR
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State | FL
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Zip | 33025-1779
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Country | US
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Telephone | 954-443-5826
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MH 11598
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License Number State | FL
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