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General NPI Number Information
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NPI Number | 1134593023
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Entity Type | Organization
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Legal Business Name | WESTCARE
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 6636 ROWAN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-2940
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Country | US
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Telephone | 727-846-0757
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Fax |
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Provider Business Mailing Address
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Address Line | 8607 TENBRIDGE WAY
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-4694
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Country | US
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Telephone | 201-207-4289
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | HEATHER A WOS
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Credential | CAC
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Telephone | 201-207-4289
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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 | 009954-2015
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License Number State | FL
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