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General NPI Number Information
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NPI Number | 1790486181
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Entity Type | Organization
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Legal Business Name | PARENT RESOURCE GROUP OF FLORIDA
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 7208 W SAND LAKE RD STE 305
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City | ORLANDO
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State | FL
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Zip | 32819-5279
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Country | US
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Telephone | 904-910-7311
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Fax | 863-874-4357
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Provider Business Mailing Address
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Address Line | 973 HUNTERS MEADOW LN
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City | LAKELAND
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State | FL
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Zip | 33809-6639
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Country | US
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Telephone | 904-705-4366
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELINE Y. ADAMSON
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Credential | LMFT
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Telephone | 904-910-7317
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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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