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General NPI Number Information
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NPI Number | 1134436959
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL MANAGEMENT SYSTEMS, INC.
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 2500 QUANTUM LAKES DR SUITE 203
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8324
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Country | US
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Telephone | 561-738-5000
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Fax | 561-734-4804
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Provider Business Mailing Address
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Address Line | PO BOX 4177
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City | BOYNTON BEACH
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State | FL
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Zip | 33424-4177
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Country | US
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Telephone | 561-738-5000
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Fax | 561-734-4804
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH DEGEORGE
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Credential | PH.D., LCSW
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Telephone | 561-738-5000
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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 | SW638
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License Number State | FL
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