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General NPI Number Information
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NPI Number | 1326104647
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Entity Type | Organization
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Legal Business Name | THE CENTRE FOR WOMEN, INC.
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 305 S HYDE PARK AVE
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City | TAMPA
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State | FL
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Zip | 33606-2233
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Country | US
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Telephone | 813-251-8437
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Fax | 813-253-8021
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Provider Business Mailing Address
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Address Line | 305 S HYDE PARK AVE
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City | TAMPA
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State | FL
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Zip | 33606-2233
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Country | US
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Telephone | 813-251-8437
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Fax | 813-253-8021
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SARAH B FICQUETTE
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Credential |
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Telephone | 813-251-8437
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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 | SR29AD438201
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License Number State | FL
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