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General NPI Number Information
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NPI Number | 1316285620
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Entity Type | Organization
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Legal Business Name | PROVIDENCE HEALTH, LLC
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Dates
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Enumeration Date | 01/21/2013
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Last Update Date | 01/21/2013
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Provider Practice Location Address
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Address Line | 43 S POMPANO PKWY #305
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City | POMPANO BEACH
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State | FL
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Zip | 33069-3001
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Country | US
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Telephone | 954-857-7430
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Fax |
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Provider Business Mailing Address
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Address Line | 43 S POMPANO PKWY #305
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City | POMPANO BEACH
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State | FL
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Zip | 33069-3001
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Country | US
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Telephone | 954-857-7430
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KAREN FRANCESCHINI
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Credential | LMFT
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Telephone | 954-857-7430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | IMT1092
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License Number State | FL
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