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General NPI Number Information
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NPI Number | 1679689699
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Entity Type | Individual
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Provider Name | PAUL C. BRIGGS MSW,LCSW,LICSW,LMT
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 6717 RALEIGH ST
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2807
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Country | US
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Telephone | 305-310-4591
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Fax | 754-263-5929
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Provider Business Mailing Address
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Address Line | 6717 RALEIGH ST
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2807
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Country | US
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Telephone | 305-310-4591
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Fax | 754-263-5929
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C003436
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 110348
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA34970
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | NCTMB 308956-00
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 5478
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License Number State | FL
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