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General NPI Number Information
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NPI Number | 1508281106
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Entity Type | Individual
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Provider Name | CHERYL DELY
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Gender | Female
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Dates
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Enumeration Date | 02/19/2014
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 1035 S STATE ROAD 7 SUITE 315
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City | WELLINGTON
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State | FL
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Zip | 33414-6134
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Country | US
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Telephone | 877-847-4474
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Fax | 888-384-7544
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Provider Business Mailing Address
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Address Line | 1035 S STATE ROAD 7 SUITE 315
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City | WELLINGTON
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State | FL
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Zip | 33414-6134
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Country | US
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Telephone | 877-847-4474
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Fax | 888-384-7544
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | SW 11265
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License Number State | FL
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