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General NPI Number Information
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NPI Number | 1932524246
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Entity Type | Organization
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Legal Business Name | LMW THERAPY SERVICES
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Dates
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Enumeration Date | 02/24/2014
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 1200 BRICKELL AVE STE 1950
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City | MIAMI
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State | FL
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Zip | 33131-3298
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Country | US
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Telephone | 305-961-1130
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Fax | 305-402-0290
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Provider Business Mailing Address
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Address Line | 1200 BRICKELL AVE STE 1950
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City | MIAMI
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State | FL
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Zip | 33131-3298
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Country | US
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Telephone | 305-961-1130
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Fax | 305-402-0290
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LISA M WILKINSON
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Credential | LMFT
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Telephone | 305-961-1130
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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 | MT2806
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License Number State | FL
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