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General NPI Number Information
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NPI Number | 1063692275
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Entity Type | Organization
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Legal Business Name | DENNIS ROCKWELL INC
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | FONTANA PLAZA, 9045 LAFONTANA BLVD SUITE 222
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City | BOCA RATON
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State | FL
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Zip | 33434-5636
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Country | US
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Telephone | 561-477-5836
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Fax | 561-477-7388
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Provider Business Mailing Address
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Address Line | FONTANA PLAZA, 9045 LAFONTANA BLVD SUITE 222
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City | BOCA RATON
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State | FL
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Zip | 33434-5636
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Country | US
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Telephone | 561-477-5836
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Fax | 561-477-7388
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DENNIS MARK ROCKWELL
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Credential | LCSW
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Telephone | 561-477-5836
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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 | SW0004553
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License Number State | FL
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