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General NPI Number Information
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NPI Number | 1619399417
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Entity Type | Organization
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Legal Business Name | HEAL, ASSOCIATES
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Dates
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Enumeration Date | 01/13/2014
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 8470 ENTERPRISE CIR
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-4102
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Country | US
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Telephone | 941-462-4807
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Fax |
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Provider Business Mailing Address
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Address Line | 8470 ENTERPRISE CIR
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-4102
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Country | US
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Telephone | 941-462-4807
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MARGARET YOUNG
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Credential | LCSW
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Telephone | 941-462-4807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 7240
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | SW 13170
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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