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General NPI Number Information
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NPI Number | 1861933434
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Entity Type | Organization
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Legal Business Name | CE THERAPY AND COACHING AND AROMATHERAPY
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 5555 HOLLYWOOD BLVD SUITE 300
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 754-201-1822
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Fax |
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Provider Business Mailing Address
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Address Line | 5555 HOLLYWOOD BLVD SUITE 300
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 754-201-1822
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARLOTTE EVANS
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Credential | LCSW
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Telephone | 954-297-5077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW7704
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License Number State | FL
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