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General NPI Number Information
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NPI Number | 1780842492
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Entity Type | Organization
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Legal Business Name | BETH ZWEIG LCSW INC
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 12773 FOREST HILL BLVD STE 1206
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 561-791-0136
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Fax | 561-791-7436
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Provider Business Mailing Address
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Address Line | 1103 EGRET CIRCLE N
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City | JUPITER
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State | FL
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Zip | 33458
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Country | US
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Telephone | 561-791-0136
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Fax | 561-791-7436
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MRS. BETH R ZWEIG
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Credential | LCSW
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Telephone | 561-791-0136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW0002608
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License Number State | FL
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