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General NPI Number Information
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NPI Number | 1376022483
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Entity Type | Organization
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Legal Business Name | SHERRY RAWISZER LLC
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 2200 NW CORPORATE BLVD STE 300
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City | BOCA RATON
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State | FL
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Zip | 33431-7307
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Country | US
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Telephone | 561-596-9957
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Fax |
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Provider Business Mailing Address
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Address Line | 651 OKEECHOBEE BLVD APT 805
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6036
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Country | US
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Telephone | 561-596-9957
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Fax |
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Authorized Official
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Title or Position | OWNER AND DIRECTOR
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Name | SHERRY RAWISZER
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Credential | LCSW
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Telephone | 561-596-9957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW12218
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License Number State | FL
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