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General NPI Number Information
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NPI Number | 1083989008
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Entity Type | Organization
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Legal Business Name | CORPORATE CARE INTERNATIONAL, INC.
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Dates
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Enumeration Date | 03/09/2012
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 5317 BROOKLAWN TER
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-1659
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Country | US
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Telephone | 561-702-0876
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 741901
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City | BOYNTON BEACH
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State | FL
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Zip | 33474-1901
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Country | US
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Telephone | 561-702-0876
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. HELENE MESTER
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Credential |
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Telephone | 561-702-0876
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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 | SW3195
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License Number State | FL
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