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General NPI Number Information
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NPI Number | 1699171488
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Entity Type | Organization
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Legal Business Name | HANLEY CENTER FOUNDATION, INC.
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 900 54TH ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2436
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Country | US
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Telephone | 561-841-1122
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Fax | 561-841-1290
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Provider Business Mailing Address
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Address Line | 900 54TH ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2436
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Country | US
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Telephone | 561-841-1122
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Fax | 561-841-1290
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Authorized Official
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Title or Position | CEO
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Name | DR. RACHEL DOCEKAL
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Credential |
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Telephone | 561-309-5325
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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 |
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License Number State |
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