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General NPI Number Information
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NPI Number | 1689927725
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Entity Type | Organization
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Legal Business Name | SOUTH COUNTY MENTAL HEALTH CENTER
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Dates
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Enumeration Date | 10/25/2012
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 16158 S MILITARY TRL BLD A
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6502
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Country | US
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Telephone | 561-495-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 16158 S MILITARY TRL BLD A
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6502
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Country | US
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Telephone | 561-495-0522
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Fax |
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Authorized Official
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Title or Position | M.D.
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Name | DR. ANN LAUGHLIN
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Credential |
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Telephone | 561-495-0522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 919103
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 9191030
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 9191030
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License Number State | FL
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