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General NPI Number Information
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NPI Number | 1811152143
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Entity Type | Individual
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Provider Name | SZILVIA LEGRADI MA, MFT REG. INTERN
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Gender | Female
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 3402 MAGIC OAK LN
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City | SARASOTA
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State | FL
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Zip | 34232-1812
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Country | US
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Telephone | 813-728-9148
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Fax | 941-923-1579
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Provider Business Mailing Address
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Address Line | 16001 SELBY WAY
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City | TAMPA
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State | FL
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Zip | 33647-2035
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Country | US
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Telephone | 813-728-9148
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Fax | 941-923-1579
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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 | IMT1181
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License Number State | FL
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