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General NPI Number Information
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NPI Number | 1851103840
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Entity Type | Organization
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Legal Business Name | TOTAL FAMILY BEHAVIORAL HEALTHCARE CENTER, INC
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Dates
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Enumeration Date | 01/25/2025
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 7800 W OAKLAND PARK BLVD STE 214
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City | SUNRISE
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State | FL
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Zip | 33351-1126
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Country | US
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Telephone | 954-431-7676
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Fax | 888-538-2226
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Provider Business Mailing Address
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Address Line | PO BOX 16472
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City | PLANTATION
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State | FL
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Zip | 33318-6472
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Country | US
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Telephone | 305-778-3157
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Fax | 888-538-2226
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS MARJORIE MAY GILLESPIE
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Credential | PHD
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Telephone | 305-778-3157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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