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General NPI Number Information
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NPI Number | 1225157274
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Entity Type | Organization
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Legal Business Name | BOCA FAMILY COUNSELING INC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 950 PENINSULA CORPORATE CIR SUITE 2011
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City | BOCA RATON
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State | FL
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Zip | 33487-1378
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Country | US
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Telephone | 561-995-9266
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Fax | 561-988-5009
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Provider Business Mailing Address
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Address Line | 950 PENINSULA CORPORATE CIR SUITE 2011
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City | BOCA RATON
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State | FL
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Zip | 33487-1378
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Country | US
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Telephone | 561-995-9266
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Fax | 561-988-5009
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEENAKSHI RAO
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Credential | LCSW
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Telephone | 561-995-9266
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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 | SW5754
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License Number State | FL
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