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General NPI Number Information
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NPI Number | 1215357405
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Entity Type | Organization
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Legal Business Name | MB HRIM COMPANY, LLC
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Dates
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Enumeration Date | 04/26/2014
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Last Update Date | 04/26/2014
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Provider Practice Location Address
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Address Line | 900 E INDIANTOWN RD SUITE 311
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City | JUPITER
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State | FL
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Zip | 33477-5165
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Country | US
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Telephone | 561-373-1509
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Fax | 561-288-1125
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Provider Business Mailing Address
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Address Line | 900 E INDIANTOWN RD SUITE 311
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City | JUPITER
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State | FL
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Zip | 33477-5165
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Country | US
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Telephone | 561-373-1509
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Fax | 561-288-1125
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MARYBETH HRIM
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Credential | LCSW
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Telephone | 561-373-1509
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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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