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General NPI Number Information
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NPI Number | 1891409413
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Entity Type | Organization
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Legal Business Name | A GIFT FOR YOU, INC.
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 1612 STRATHMORE CIR
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City | MOUNT DORA
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State | FL
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Zip | 32757-8862
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Country | US
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Telephone | 954-673-9625
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Fax |
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Provider Business Mailing Address
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Address Line | 407 PLAZA DR UNIT 104
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City | EUSTIS
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State | FL
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Zip | 32726-6523
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Country | US
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Telephone | 954-673-9625
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SONJA YVETTE JOHNSON
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Credential | PHD
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Telephone | 954-673-9625
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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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