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General NPI Number Information
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NPI Number | 1265770861
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Entity Type | Organization
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Legal Business Name | ALZHEIMER'S CARE RESOURCE CENTER, INC
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 09/19/2016
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Provider Practice Location Address
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Address Line | 2328 10TH AVE N STE 600
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City | LAKE WORTH
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State | FL
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Zip | 33461-6615
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Country | US
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Telephone | 561-588-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 2328 10TH AVE N #600
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City | LAKE WORTH
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State | FL
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Zip | 33461
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Country | US
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Telephone | 561-588-4545
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ELAYNE FORGIE
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Credential | CMC
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Telephone | 561-588-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 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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