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General NPI Number Information
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NPI Number | 1487524179
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Entity Type | Organization
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Legal Business Name | THE HEALTH CENTER OF COCONUT CREEK, INC.
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 15550 LIGHTWAVE DR STE 250
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City | CLEARWATER
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State | FL
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Zip | 33760-3504
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Country | US
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Telephone | 855-905-7412
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Fax |
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Provider Business Mailing Address
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Address Line | 15550 LIGHTWAVE DR STE 250
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City | CLEARWATER
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State | FL
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Zip | 33760-3504
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Country | US
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Telephone | 855-905-7412
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JAMES MOBLEY
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Credential | DR
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Telephone | 855-905-7412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101200000X
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Taxonomy Name | Drama Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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