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General NPI Number Information
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NPI Number | 1033273925
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Entity Type | Organization
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Legal Business Name | CROSS ROADS RESOLUTIONS, INC
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 03/28/2011
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Provider Practice Location Address
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Address Line | 1120 HOMESTEAD RD N
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City | LEHIGH ACRES
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State | FL
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Zip | 33936-6044
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Country | US
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Telephone | 239-281-8903
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Fax | 239-303-3100
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Provider Business Mailing Address
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Address Line | PO BOX 487
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City | IMMOKALEE
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State | FL
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Zip | 34143-0487
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Country | US
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Telephone |
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Fax | 239-303-3100
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Authorized Official
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Title or Position | OWNER
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Name | SHIRLEY SLOAN
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Credential | LCSW
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Telephone | 239-281-8903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 043195
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License Number State | FL
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