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General NPI Number Information
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NPI Number | 1609080142
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Entity Type | Organization
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Legal Business Name | GROWING, INC.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 499 E PALMETTO PARK RD SUITE 224
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City | BOCA RATON
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State | FL
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Zip | 33432-5080
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Country | US
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Telephone | 561-395-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 499 E PALMETTO PARK RD SUITE 224
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City | BOCA RATON
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State | FL
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Zip | 33432-5080
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Country | US
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Telephone | 561-395-4100
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. HANNA MCGOEY
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Credential | LMHC, CAP
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Telephone | 561-212-1590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0950AD971501
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License Number State | FL
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