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General NPI Number Information
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NPI Number | 1689766248
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Entity Type | Organization
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Legal Business Name | ASSOCIATION FOR COMMUNITY COUNSELING,INC.
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 4723 W ATLANTIC AVE SUITE A5
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City | DELRAY BEACH
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State | FL
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Zip | 33445-3895
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Country | US
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Telephone | 561-638-0908
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Fax | 561-638-1115
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Provider Business Mailing Address
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Address Line | 4723 W ATLANTIC AVE SUITE A5
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City | DELRAY BEACH
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State | FL
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Zip | 33445-3895
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Country | US
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Telephone | 561-638-0908
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Fax | 561-638-1115
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Authorized Official
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Title or Position | TREASURER CHIEF FINANCIAL OFFICER
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Name | MRS. HELENE R SACHAROW
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Credential | CPA
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Telephone | 561-243-2857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY0005198
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | MH7411
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License Number State | FL
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