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General NPI Number Information
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NPI Number | 1700877974
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Entity Type | Organization
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Legal Business Name | ANGEL CHILDREN'S THERAPIES
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2555 N DIXIE HWY
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City | LAKE WORTH
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State | FL
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Zip | 33460-6250
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Country | US
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Telephone | 561-585-4881
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Fax | 561-585-7452
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Provider Business Mailing Address
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Address Line | 2555 N DIXIE HWY
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City | LAKE WORTH
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State | FL
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Zip | 33460-6250
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Country | US
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Telephone | 561-585-4881
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Fax | 561-585-7452
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MISS MARGARITA C GUTIERREZ
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Credential | M.S., C.C.C., S.L.P.
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Telephone | 561-585-4881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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