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General NPI Number Information
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NPI Number | 1780705210
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Entity Type | Organization
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Legal Business Name | JANET GORFAIN LCSW PA
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7000 W OAKLAND PARK BLVD STE #201
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City | LAUDERHILL
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State | FL
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Zip | 33313-1016
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Country | US
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Telephone | 954-746-5599
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Fax | 954-746-5788
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Provider Business Mailing Address
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Address Line | 7000 W OAKLAND PARK BLVD STE #201
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City | LAUDERHILL
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State | FL
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Zip | 33313-1016
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Country | US
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Telephone | 954-746-5599
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Fax | 954-746-5788
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | JANET GORFAIN
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Credential | L.C.S.W.
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Telephone | 954-746-5599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW3001
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License Number State | FL
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