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General NPI Number Information
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NPI Number | 1578719019
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Entity Type | Organization
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Legal Business Name | FEDERATION OF FAMILIES OF PALM BEACH COUNTY, INC.
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Dates
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Enumeration Date | 08/15/2008
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Last Update Date | 08/15/2008
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Provider Practice Location Address
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Address Line | 3333 AVENUE I
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-3615
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Country | US
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Telephone | 561-863-9848
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Fax | 561-863-9858
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Provider Business Mailing Address
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Address Line | 3333 AVENUE I
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-3615
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Country | US
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Telephone | 561-863-9848
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Fax | 561-863-9858
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. CYNTHIA VEREE' JENKINS
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Credential | M.A.
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Telephone | 561-863-9848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number | 1550AD366801
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License Number State | FL
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