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General NPI Number Information
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NPI Number | 1437448099
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Entity Type | Organization
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Legal Business Name | DR. KING & ASSOCIATES, P.A.
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 3471 N FEDERAL HWY STE 410
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1050
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Country | US
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Telephone | 954-903-9426
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Fax | 954-533-8616
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Provider Business Mailing Address
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Address Line | 3471 N FEDERAL HWY STE 410
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1050
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Country | US
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Telephone | 954-903-9426
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Fax | 954-533-8616
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Authorized Official
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Title or Position | CEO
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Name | DR. ELIZABETH KING
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Credential | EDD, LCSW
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Telephone | 954-903-9426
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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 | SW5833
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND5063
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP1944
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License Number State | FL
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