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General NPI Number Information
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NPI Number | 1689172850
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Entity Type | Organization
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Legal Business Name | DOREEN E. CAHILL LLC
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 01/23/2018
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Provider Practice Location Address
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Address Line | 4400 N FEDERAL HWY STE 210
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City | BOCA RATON
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State | FL
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Zip | 33431-5195
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Country | US
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Telephone | 561-676-0293
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Fax |
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Provider Business Mailing Address
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Address Line | 5589 FAIRWAY PARK DR APT 101
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-1738
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Country | US
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Telephone | 561-676-0293
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DOREEN ELIZABETH CAHILL
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Credential | LCSW
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Telephone | 561-676-0293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | SW11519
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License Number State | FL
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