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General NPI Number Information
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NPI Number | 1558563593
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Entity Type | Organization
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Legal Business Name | D & C HEALTH SERVICES INC
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10511 NW 22ND ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-2300
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Country | US
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Telephone | 954-443-1034
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Fax | 954-443-1034
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Provider Business Mailing Address
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Address Line | 10511 NW 22ND ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-2300
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Country | US
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Telephone | 954-443-1034
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Fax | 954-443-1034
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOLIA PEGUERO
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Credential | LCSW
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Telephone | 954-443-1034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | SW 6289
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW 6289
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | SW 6289
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | SW 6289
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License Number State | FL
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