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General NPI Number Information
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NPI Number | 1356741086
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Entity Type | Organization
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Legal Business Name | GAIL PERZIA-WHETSTONE, LMHC, PA
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 08/29/2014
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Provider Practice Location Address
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Address Line | 5845 NW 42ND WAY
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City | BOCA RATON
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State | FL
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Zip | 33496-2743
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Country | US
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Telephone | 561-994-4794
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Fax | 561-998-9874
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Provider Business Mailing Address
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Address Line | PO BOX 810901
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City | BOCA RATON
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State | FL
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Zip | 33481-0901
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Country | US
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Telephone | 561-994-4794
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Fax | 561-998-9874
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Authorized Official
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Title or Position | PRESIDENT
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Name | GAIL PERZIA-WHETSTONE
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Credential | LMHC, NCC
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Telephone | 561-994-4794
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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 | MH6552
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License Number State | FL
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