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General NPI Number Information
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NPI Number | 1578112694
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Entity Type | Individual
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Provider Name | IRENE RIFKIND LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 12161 KEN ADAMS WAY STE 154
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City | WELLINGTON
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State | FL
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Zip | 33414-3194
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Country | US
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Telephone | 410-206-1767
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Fax | 561-227-1510
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Provider Business Mailing Address
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Address Line | 2705 NASSAU RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-7773
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Country | US
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Telephone | 410-206-1767
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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 | SW13841
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License Number State | FL
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