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General NPI Number Information
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NPI Number | 1568098010
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Entity Type | Individual
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Provider Name | LABRENA COLEMAN MSWI
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Gender | Female
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Dates
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Enumeration Date | 03/17/2020
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Last Update Date | 03/17/2020
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Provider Practice Location Address
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Address Line | 3333 FOREST HILL BLVD # 2ND
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5812
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Country | US
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Telephone | 561-307-4552
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Fax |
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Provider Business Mailing Address
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Address Line | 718 FLORIDA AVE
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City | CLEWISTON
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State | FL
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Zip | 33440-5601
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Country | US
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Telephone | 561-449-1342
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Fax |
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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 | 14445
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License Number State | FL
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