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General NPI Number Information
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NPI Number | 1790087310
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Entity Type | Organization
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Legal Business Name | KIMBERLEE CAIN LCSW
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 1920 PALM BEACH LAKES BLVD SUITE 102
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3512
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Country | US
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Telephone | 561-262-7979
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Fax |
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Provider Business Mailing Address
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Address Line | 221 33RD CT
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-4911
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KIMBERLEE CAIN
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Credential | LCSW
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Telephone | 561-262-7979
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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 | SW3858
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License Number State | FL
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