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General NPI Number Information
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NPI Number | 1932596616
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Entity Type | Organization
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Legal Business Name | LIFTING INDIVIDUAL AND FAMILY EXPECTATIONS, INC.
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 2431 ALOMA AVE STE 166
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City | WINTER PARK
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State | FL
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Zip | 32792-2541
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Country | US
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Telephone | 321-296-9383
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Fax | 321-296-9383
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Provider Business Mailing Address
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Address Line | 2431 ALOMA AVE STE 166
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City | WINTER PARK
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State | FL
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Zip | 32792-2541
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Country | US
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Telephone | 321-296-9383
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Fax | 321-296-9383
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Authorized Official
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Title or Position | PRESIDENT/CEO/OWNER
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Name | MS. TARA DIXON
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Credential | LCSW QS
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Telephone | 321-296-9383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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