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General NPI Number Information
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NPI Number | 1497498810
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Entity Type | Organization
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Legal Business Name | CFSATC INC
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 1000 SE FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-3821
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Country | US
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Telephone | 772-291-2750
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Fax | 407-872-3057
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Provider Business Mailing Address
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Address Line | 1800 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32804-7012
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Country | US
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Telephone | 407-872-3000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CAROL S BALL
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Credential |
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Telephone | 407-872-3000
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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 |
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