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NPI Code Detail

MEDICARE: CHARLOTTE SIMONE EARLINGTON

MEDICARE:   CHARLOTTE SIMONE EARLINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator4064FL
2104100000XSocial Worker
3222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1710314216
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLOTTE SIMONE EARLINGTON
Provider Business Mailing Address
First Line : 5695 UPLAND WAY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-5708
Country : US
Telephone Number : 561-308-6900
Fax Number :
Provider Business Practice Location Address
First Line : 5695 UPLAND WAY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-5708
Country : US
Telephone Number : 561-308-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2013
Last Update Date : 10/31/2013

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Directions to “ CHARLOTTE SIMONE EARLINGTON ” Practice Location

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