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General NPI Number Information
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NPI Number | 1972134401
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Entity Type | Organization
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Legal Business Name | DRAGONFLIES NEW BEGINNINGS
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 2700 N MACDILL AVE STE 116
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City | TAMPA
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State | FL
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Zip | 33607-2284
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Country | US
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Telephone | 813-563-8227
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10192
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City | TAMPA
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State | FL
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Zip | 33679-0192
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DENISE D MOORE
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Credential | MS, LMHC
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Telephone | 813-956-6325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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