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General NPI Number Information
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NPI Number | 1679541031
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Entity Type | Organization
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Legal Business Name | CIRCLES OF CARE, INC.
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 400 E SHERIDAN RD
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City | MELBOURNE
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State | FL
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Zip | 32901-3184
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Country | US
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Telephone | 321-722-5200
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Fax | 321-722-5230
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Provider Business Mailing Address
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Address Line | 400 E SHERIDAN RD
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City | MELBOURNE
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State | FL
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Zip | 32901-3184
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Country | US
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Telephone | 321-722-5200
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Fax | 321-722-5230
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Authorized Official
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Title or Position | VICE PRESIDENT HUMAN RELATIONS
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Name | FALLON DEROSA
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Credential |
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Telephone | 321-722-5273
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | 8550
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 8599
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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