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General NPI Number Information
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NPI Number | 1710855622
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Entity Type | Organization
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Legal Business Name | UNITED CEREBRAL PALSY 0F BROWARD, PALM BEACH AND MID-COAST COUNTIES, INC.
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 3117 SW 13TH CT
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-2714
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Country | US
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Telephone | 954-584-7178
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Fax |
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Provider Business Mailing Address
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Address Line | 3117 SW 13TH CT
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-2714
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Country | US
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Telephone | 954-584-7178
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Fax |
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Authorized Official
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Title or Position | COORDINATOR OF PROGRAM SUPPORTS
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Name | KAREN KNOBLOCK
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Credential |
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Telephone | 305-728-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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