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General NPI Number Information
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NPI Number | 1679798235
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Entity Type | Individual
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Provider Name | DAGOBERT JOSEPH GEORGES LCSW
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 237 N WARE DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3857
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Country | US
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Telephone | 561-478-1125
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Fax | 561-471-3973
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Provider Business Mailing Address
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Address Line | 237 N WARE DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3857
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Country | US
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Telephone | 561-847-5970
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Fax |
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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 | 9987
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License Number State | FL
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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 | SW9987
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License Number State | FL
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