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General NPI Number Information
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NPI Number | 1427346642
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Entity Type | Organization
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Legal Business Name | FLORIDA RESOURCE CENTER FOR WOMEN & CHILDREN, INC.
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 07/21/2011
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Provider Practice Location Address
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Address Line | 1714 DOUGLAS AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-6264
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Country | US
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Telephone | 561-366-1360
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Fax | 561-366-1361
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Provider Business Mailing Address
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Address Line | 1923 BROADWAY
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-5633
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Country | US
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Telephone | 561-848-8383
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Fax | 561-848-1255
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SHANDRA DAWKINS
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Credential |
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Telephone | 561-848-8383
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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 | 10D2010824
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License Number State | FL
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