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NPI 1487052627

NPI 1487052627 : HELPING PEOPLE SUCCEED : PORT ST LUCIE, FL

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General NPI Number Information
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    NPI Number           |    1487052627
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    Entity Type          |    Organization 
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    Legal Business Name  |    HELPING PEOPLE SUCCEED 
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Dates
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    Enumeration Date     |    12/19/2014
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    Last Update Date     |    12/19/2014
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Provider Practice Location Address
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    Address Line         |    1429 SW MEDINA AVE 
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    City                 |    PORT ST LUCIE
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    State                |    FL
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    Zip                  |    34953-4919
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    Country              |    US
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    Telephone            |    772-475-4242
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1429 SW MEDINA AVE 
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    City                 |    PORT ST LUCIE
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    State                |    FL
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    Zip                  |    34953-4919
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    Country              |    US
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    Telephone            |    772-475-4242
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SR. MENTAL HEALTH PRACTITIONER
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    Name                 |     EMELYNE DUVRA GEFFRARD 
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    Credential           |    MSW
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    Telephone            |    772-475-4242
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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 |    FL
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