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General NPI Number Information
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NPI Number | 1366719585
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Entity Type | Organization
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Legal Business Name | BEVERLY GIBEL, LCSW,ACSW, BCD, PA
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 580 VILLAGE BLVD STE 370
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1960
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Country | US
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Telephone | 561-684-8335
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Fax | 561-686-2580
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Provider Business Mailing Address
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Address Line | 580 VILLAGE BLVD STE 370
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1960
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Country | US
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Telephone | 561-684-8335
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Fax | 561-686-2580
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARY DOWNS
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Credential |
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Telephone | 561-684-8335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW0003277
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License Number State | FL
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