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General NPI Number Information
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NPI Number | 1013315134
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Entity Type | Individual
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Provider Name | ROSCIARA S. PUGH LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/06/2014
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 7750 OKEECHOBEE BOULEVARD SUITE #4-730
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City | WEST PALM BEACH
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State | FL
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Zip | 33411
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Country | US
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Telephone | 561-299-4571
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Fax |
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Provider Business Mailing Address
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Address Line | 7750 OKEECHOBEE BOULEVARD SUITE #4-730
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City | WEST PALM BEACH
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State | FL
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Zip | 33411
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Country | US
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Telephone | 561-299-4571
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ISW9241
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW14419
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License Number State | FL
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