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General NPI Number Information
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NPI Number | 1811316482
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Entity Type | Organization
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Legal Business Name | FAMILY SOLUTION THERAPY
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 01/21/2015
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Provider Practice Location Address
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Address Line | 7685 SW 104TH ST 100
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City | PINECREST
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State | FL
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Zip | 33156-3161
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Country | US
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Telephone | 888-429-4072
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Fax | 866-735-7140
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Provider Business Mailing Address
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Address Line | 11767 S DIXIE HWY 124
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City | PINECREST
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State | FL
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Zip | 33156-4438
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Country | US
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Telephone | 888-429-4072
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Fax | 866-735-7140
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MELISSA ARIAS SHAH
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Credential | PHD, LMFT
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Telephone | 888-429-4072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2586
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License Number State | FL
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