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General NPI Number Information
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NPI Number | 1710755822
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Entity Type | Organization
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Legal Business Name | PALM BEACH THERAPY & WELLNESS, LLC
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 5550 GLADES RD STE 400-14
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City | BOCA RATON
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State | FL
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Zip | 33431-7205
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Country | US
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Telephone | 561-970-2099
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Fax |
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Provider Business Mailing Address
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Address Line | 5550 GLADES RD STE 500
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City | BOCA RATON
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State | FL
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Zip | 33431-7277
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Country | US
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Telephone | 561-970-2099
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | MR. SETH H KAMINSKY
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Credential | LCSW
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Telephone | 561-970-2099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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