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General NPI Number Information
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NPI Number | 1750341558
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Entity Type | Individual
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Provider Name | MARK EHRENSHAFT LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6950 CYPRESS ROAD SUITE # 103-A
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City | PLANTATION
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State | FL
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Zip | 33317-2360
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Country | US
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Telephone | 954-583-8831
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Fax | 954-583-9575
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Provider Business Mailing Address
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Address Line | 3550 GALT OCEAN DRIVE # 1802
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-6847
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Country | US
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Telephone | 954-566-6936
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Fax | 954-583-9575
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW0002186
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW0002186
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License Number State | FL
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