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General NPI Number Information
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NPI Number | 1992470454
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Entity Type | Individual
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Provider Name | JONATHAN STIGLICH LMFT
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Gender | Male
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 3586 N UNIVERSITY DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-1645
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Country | US
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Telephone | 954-663-6808
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Fax |
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Provider Business Mailing Address
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Address Line | 5728 NW 101ST WAY
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-2591
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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 |
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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 | 4098
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License Number State | FL
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