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General NPI Number Information
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NPI Number | 1902452808
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Entity Type | Organization
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Legal Business Name | CAREER COLABS. LLC
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 1000 E ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33060-7479
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Country | US
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Telephone | 877-799-1506
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Fax |
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Provider Business Mailing Address
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Address Line | 725 S NOVA RD # 230
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City | ORMOND BEACH
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State | FL
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Zip | 32174-7332
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Country | US
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Telephone | 954-591-8526
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KRISTEN TOLBERT
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Credential | EDD, LMHC/LPC
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Telephone | 877-799-1506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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