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General NPI Number Information
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NPI Number | 1043036379
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Entity Type | Organization
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Legal Business Name | SUSAN SHAFRAN LLC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 55 SW 2ND AVE APT 403
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City | BOCA RATON
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State | FL
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Zip | 33432-4763
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Country | US
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Telephone | 718-314-5450
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Fax | 954-507-6748
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Provider Business Mailing Address
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Address Line | 55 SW 2ND AVE APT 403
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City | BOCA RATON
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State | FL
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Zip | 33432-4763
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Country | US
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Telephone | 718-314-5450
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Fax | 954-507-6748
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN SHAFRAN
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Credential | LCSW
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Telephone | 718-314-5450
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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 |
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License Number State |
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