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General NPI Number Information
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NPI Number | 1205369980
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Entity Type | Organization
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Legal Business Name | ALLIANCE COUNSELING AND EDUCATION SERVICES
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 959 SE 2ND AVE 254
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-5573
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Country | US
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Telephone | 773-676-4956
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Fax |
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Provider Business Mailing Address
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Address Line | 440 S FEDERAL HWY SUITE 103
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-4114
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Country | US
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Telephone | 773-676-4956
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RAMON NOLASCO
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Credential | LMHC
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Telephone | 773-676-4956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 251S00000X
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License Number State | FL
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