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General NPI Number Information
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NPI Number | 1053626804
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Entity Type | Individual
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Provider Name | DAVID M. SLOAN LMHC
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Gender | Male
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 01/31/2019
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Provider Practice Location Address
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Address Line | 11900 SE FEDERAL HWY SUITE 212
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City | HOBE SOUND
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State | FL
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Zip | 33455-5320
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Country | US
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Telephone | 772-546-3455
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Fax | 772-546-3597
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Provider Business Mailing Address
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Address Line | 4905 LANTANA RD
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City | LAKE WORTH
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State | FL
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Zip | 33463-6915
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Country | US
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Telephone | 866-259-0067
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | IMH7474
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License Number State | FL
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