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General NPI Number Information
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NPI Number | 1083166268
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Entity Type | Organization
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Legal Business Name | GUIDING LIGHT FOUNDATION, INC
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 22482 SW 56TH AVE
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City | BOCA RATON
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State | FL
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Zip | 33433-4604
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Country | US
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Telephone | 561-843-1982
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Fax |
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Provider Business Mailing Address
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Address Line | 22482 SW 56TH AVE
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City | BOCA RATON
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State | FL
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Zip | 33433-4604
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FLORE DIE
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Credential |
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Telephone | 561-843-1982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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