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General NPI Number Information
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NPI Number | 1376436675
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Entity Type | Organization
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Legal Business Name | MCWAL COMMUNITY SERVICES LLC
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 11555 HERON BAY BLVD STE 200
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3362
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Country | US
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Telephone | 954-422-7765
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Fax |
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Provider Business Mailing Address
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Address Line | 5780 NW 121ST AVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-4018
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Country | US
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Telephone | 954-422-7765
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JULIA MCDONALD-WALCOTT
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Credential |
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Telephone | 954-422-7765
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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