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General NPI Number Information
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NPI Number | 1811237423
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Entity Type | Organization
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Legal Business Name | DIRECT APPROACH COUNSELING LLC
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Dates
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Enumeration Date | 02/18/2013
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Last Update Date | 02/18/2013
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Provider Practice Location Address
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Address Line | 3200 N FEDERAL HWY 206-14
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City | BOCA RATON
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State | FL
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Zip | 33431-6035
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Country | US
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Telephone | 561-289-0083
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Fax | 561-955-6002
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Provider Business Mailing Address
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Address Line | 3200 N FEDERAL HWY 206-14
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City | BOCA RATON
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State | FL
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Zip | 33431-6035
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Country | US
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Telephone | 561-289-0083
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Fax | 561-955-6002
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SHEILA COOPERMAN
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Credential | LMHC
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Telephone | 561-289-0083
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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 | MH7117
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License Number State | FL
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