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General NPI Number Information
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NPI Number | 1780739292
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Entity Type | Organization
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Legal Business Name | BFT HOLDING CORP.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 7151 N LINDBERGH BLVD
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City | HAZELWOOD
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State | MO
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Zip | 63042-2039
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Country | US
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Telephone | 314-731-3969
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Fax | 314-731-3906
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Provider Business Mailing Address
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Address Line | 7151 N LINDBERGH BLVD
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City | HAZELWOOD
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State | MO
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Zip | 63042-2039
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Country | US
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Telephone | 314-731-3969
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Fax | 314-731-3906
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. RANDI HOWARD
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Credential | M.A.
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Telephone | 314-731-3969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2005041288
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License Number State | MO
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