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General NPI Number Information
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NPI Number | 1821115775
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Entity Type | Organization
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Legal Business Name | HANK HIMMELBAUM LCSW PA
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6893 SW 18TH ST F-101
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City | BOCA RATON
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State | FL
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Zip | 33433-7044
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Country | US
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Telephone | 561-447-7501
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Fax | 561-447-7621
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Provider Business Mailing Address
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Address Line | 6893 SW 18TH ST F-101
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City | BOCA RATON
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State | FL
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Zip | 33433-7044
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Country | US
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Telephone | 561-447-7501
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Fax | 561-447-7621
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HANK HIMMELBAUM
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Credential | L.C.S.W.
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Telephone | 561-447-7501
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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 | SW 3203
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License Number State | FL
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