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General NPI Number Information
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NPI Number | 1669878708
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Entity Type | Organization
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Legal Business Name | AUTISM PROJECT OF PALM BEACH COUNTY
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 1310 N OLD CONGRESS AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33409
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Country | US
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Telephone | 561-758-9323
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Fax | 561-296-1791
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Provider Business Mailing Address
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Address Line | 1310 N OLD CONGRESS AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33409
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Country | US
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Telephone | 561-758-9323
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Fax | 561-296-1791
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD BUSTO
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Credential |
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Telephone | 561-758-9323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 858012707331C1
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License Number State | FL
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