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General NPI Number Information
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NPI Number | 1144710237
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Entity Type | Organization
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Legal Business Name | ALABASTER CENTER, LLC
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 130 S UNIVERSITY DR STE C
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City | PLANTATION
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State | FL
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Zip | 33324-3329
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Country | US
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Telephone | 954-530-4526
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Fax |
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Provider Business Mailing Address
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Address Line | 130 S UNIVERSITY DR STE C
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City | PLANTATION
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State | FL
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Zip | 33324-3329
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANA NEWMAN
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Credential | LCSW
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Telephone | 954-559-0809
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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 | SW14610
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License Number State | FL
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