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General NPI Number Information
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NPI Number | 1568663367
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Entity Type | Individual
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Provider Name | JAMES REED SCHRECKENGAST MSW
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 601 E SAMPLE RD STE 101
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City | POMPANO BEACH
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State | FL
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Zip | 33064-4443
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Country | US
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Telephone | 954-729-8987
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Fax | 954-942-5133
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Provider Business Mailing Address
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Address Line | 2765 NE 23RD AVE
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-8231
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Country | US
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Telephone | 954-781-7896
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Fax | 954-942-5133
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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 1748
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License Number State | FL
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