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General NPI Number Information
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NPI Number | 1104952613
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Entity Type | Individual
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Provider Name | ELAINE P DONAGHUE RN LCSW ACSW
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 115 W WOOLBRIGHT RD BLDG 2
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-5908
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Country | US
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Telephone | 561-732-5006
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Fax | 561-736-8224
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Provider Business Mailing Address
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Address Line | 3 HARBOUR DRIVE SOUTH BLDG TWO
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City | OCEAN RIDGE
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State | FL
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Zip | 33435
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Country | US
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Telephone | 561-732-5006
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Fax | 561-736-8224
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW4422
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN579382
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License Number State | FL
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