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General NPI Number Information
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NPI Number | 1780207183
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Entity Type | Organization
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Legal Business Name | DISCOVERING YOUR TRUTH LLC
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 06/02/2020
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Provider Practice Location Address
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Address Line | 1406 PARK SHORE CIR
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City | FORT MYERS
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State | FL
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Zip | 33901-9680
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Country | US
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Telephone | 239-210-7922
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 SUMMERLIN RD SUITE C2 PMB 265
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City | FORT MYERS
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State | FL
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Zip | 33919-3003
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Country | US
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Telephone | 203-898-2197
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER/MEMBER
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Name | VALERIE JUSTE MONDESIR
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Credential | LMFT
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Telephone | 239-210-7922
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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 |
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License Number State |
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