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General NPI Number Information
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NPI Number | 1972970580
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Entity Type | Organization
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Legal Business Name | PINNACLE FAMILY SERVICES OF FLORIDA, LLC.
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Dates
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Enumeration Date | 08/31/2015
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 351 SW 136TH AVE SUITE 207
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City | DAVIE
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State | FL
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Zip | 33325-3153
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Country | US
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Telephone | 954-639-1290
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Fax | 954-901-2667
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Provider Business Mailing Address
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Address Line | 351 SW 136TH AVE SUITE 207
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City | DAVIE
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State | FL
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Zip | 33325-3153
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Country | US
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Telephone | 954-639-1290
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Fax | 954-901-2667
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ESTRELLA ALVAREZ GRANDA
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Credential | LMHC
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Telephone | 786-735-2010
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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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