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General NPI Number Information
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NPI Number | 1326213141
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Entity Type | Organization
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Legal Business Name | TRUMAN WORDEN TRAINING CENTER, INC.
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 2331 N DIXIE HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33060-4960
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Country | US
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Telephone | 954-784-5113
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Fax | 954-784-5136
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Provider Business Mailing Address
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Address Line | 1001 NE 3RD AVE
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City | POMPANO BEACH
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State | FL
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Zip | 33060-5712
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Country | US
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Telephone | 954-786-0344
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Fax | 954-785-6635
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARSHA LINVILLE
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Credential |
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Telephone | 954-786-0344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 672209196
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License Number State | FL
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