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General NPI Number Information
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NPI Number | 1275076622
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Entity Type | Organization
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Legal Business Name | CROSSING BRIDGES OF THE PALM BEACHES
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Dates
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Enumeration Date | 12/02/2016
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1100 N MAIN ST STE C
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City | BELLE GLADE
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State | FL
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Zip | 33430-1973
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Country | US
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Telephone | 561-463-9249
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 N MAIN ST STE C
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City | BELLE GLADE
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State | FL
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Zip | 33430-1973
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Country | US
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Telephone | 561-463-9249
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CORETHA DENISE SMITH
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Credential | M.ED,MBA,MCAP
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Telephone | 561-463-9249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 | FL
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 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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