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General NPI Number Information
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NPI Number | 1619381324
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Entity Type | Organization
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Legal Business Name | KBS COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 06/20/2014
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Last Update Date | 06/20/2014
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Provider Practice Location Address
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Address Line | 4810 W BEXLEY PARK DR UNIT C
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City | DELRAY BEACH
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State | FL
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Zip | 33445-3577
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Country | US
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Telephone | 305-310-6618
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Fax |
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Provider Business Mailing Address
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Address Line | 4810 W BEXLEY PARK DR UNIT C
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City | DELRAY BEACH
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State | FL
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Zip | 33445-3577
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Country | US
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Telephone | 305-310-6618
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Fax |
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Authorized Official
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Title or Position | MGRM
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Name | MR. KEVIN BLAINE SCHMIDT
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Credential | ISW 7420, CAP 4647
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Telephone | 305-310-6618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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