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General NPI Number Information
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NPI Number | 1134372048
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Entity Type | Organization
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Legal Business Name | SHERI T GINSBURG-MANTZOOR P A
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 1900 GLADES RD SUITE 280
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City | BOCA RATON
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State | FL
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Zip | 33431-7378
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Country | US
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Telephone | 561-393-0414
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 GLADES RD SUITE 280
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City | BOCA RATON
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State | FL
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Zip | 33431-7378
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Country | US
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Telephone | 561-393-0414
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHERI GINSBURG-MANTZOOR
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Credential | LCSW
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Telephone | 561-870-5568
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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 |
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License Number State |
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