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General NPI Number Information
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NPI Number | 1467796342
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Entity Type | Organization
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Legal Business Name | ARDOR FAMILY SUPPORT SERVICES
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 541 S STATE ROAD 7 STE 8
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City | MARGATE
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State | FL
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Zip | 33068-1711
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Country | US
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Telephone | 786-294-4303
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 291285
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City | DAVIE
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State | FL
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Zip | 33329-1285
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | THERESA EVANS
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Credential |
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Telephone | 786-294-4303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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