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General NPI Number Information
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NPI Number | 1275930661
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Entity Type | Organization
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Legal Business Name | GOULD THERAPY INC.
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Dates
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Enumeration Date | 12/01/2014
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Last Update Date | 12/01/2014
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Provider Practice Location Address
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Address Line | 200 KNUTH RD 246
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4629
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Country | US
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Telephone | 561-736-2550
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Fax | 561-790-6940
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Provider Business Mailing Address
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Address Line | 11162 42ND RD N
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-9113
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Country | US
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Telephone | 561-736-2550
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Fax | 561-790-6940
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARGARET PATRICE GOULD
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Credential | L.C.S.W.
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Telephone | 561-736-2550
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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 | SW2600
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License Number State | FL
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