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General NPI Number Information
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NPI Number | 1588974703
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Entity Type | Organization
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Legal Business Name | ANN MCNEIL PSYCHOTHERAPY, INC.
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 8000 N FEDERAL HWY SUITE 218
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City | BOCA RATON
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State | FL
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Zip | 33487-1680
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Country | US
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Telephone | 561-314-9879
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Fax | 561-740-4075
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Provider Business Mailing Address
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Address Line | 314 SE 34TH AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-8628
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Country | US
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Telephone | 561-314-9879
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Fax | 561-740-4075
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | ANN MARIE MCNEIL
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Credential | LCSW
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Telephone | 561-314-9879
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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 | SW8758
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License Number State | FL
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