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General NPI Number Information
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NPI Number | 1417390246
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Entity Type | Organization
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Legal Business Name | SUBSTANCE ABUSE COALITION OF COLLIER COUNTY
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 04/11/2013
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Provider Practice Location Address
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Address Line | 5775 OSCEOLA TRL
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City | NAPLES
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State | FL
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Zip | 34109-0919
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Country | US
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Telephone | 239-377-0516
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 770759
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City | NAPLES
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State | FL
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Zip | 34107-0759
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Country | US
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Telephone | 239-377-0516
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Fax | 239-377-0506
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MELANIE A BLACK
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Credential |
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Telephone | 239-377-0516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | FL
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