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General NPI Number Information
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NPI Number | 1689876484
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Entity Type | Organization
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Legal Business Name | COUNCIL ON AGING OF MARTIN COUNTY, INC
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1071 SE 10TH ST
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City | STUART
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State | FL
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Zip | 34996-4162
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Country | US
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Telephone | 772-223-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 1071 SE 10TH ST
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City | STUART
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State | FL
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Zip | 34996-4162
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Country | US
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Telephone | 772-223-7800
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Fax |
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Authorized Official
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Title or Position | CEO PRESIDENT
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Name | BARBARA KAUFFMAN
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Credential |
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Telephone | 772-223-7800
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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 | AD331
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License Number State | FL
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