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General NPI Number Information
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NPI Number | 1295629350
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Entity Type | Individual
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Provider Name | KELLIE SIVEWRIGHT MSW, BSOCSCI
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 5029 VINE CLIFF WAY W
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-5101
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Country | US
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Telephone | 561-971-4469
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Fax |
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Provider Business Mailing Address
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Address Line | 901 NORTHPOINT PKWY STE 400
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-1954
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Country | US
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Telephone | 561-933-7531
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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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