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General NPI Number Information
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NPI Number | 1235887621
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Entity Type | Organization
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Legal Business Name | ADVENT PRESTIGE CARE LLC
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 130 S INDIAN RIVER DR STE 202
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City | FORT PIERCE
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State | FL
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Zip | 34950-4353
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Country | US
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Telephone | 772-773-0229
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Fax |
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Provider Business Mailing Address
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Address Line | 674 SW MONTANA TER
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-2072
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Country | US
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Telephone | 772-773-0229
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | SHERYL PALMER
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Credential | SW
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Telephone | 772-773-0229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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