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General NPI Number Information
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NPI Number | 1932400371
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Entity Type | Individual
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Provider Name | ANDREW GARBER M.S., LMFT, CHT
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Gender | Male
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/22/2015
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Provider Practice Location Address
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Address Line | 1635 S RIDGEWOOD AVE SUITE #223
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City | SOUTH DAYTONA
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State | FL
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Zip | 32119-8427
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Country | US
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Telephone | 386-747-3554
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Fax |
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Provider Business Mailing Address
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Address Line | 2911 OAK LEA DR
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City | SOUTH DAYTONA
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State | FL
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Zip | 32119-8566
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Country | US
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Telephone | 386-747-3554
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MT1422
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License Number State | FL
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