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General NPI Number Information
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NPI Number | 1821390568
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Entity Type | Organization
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Legal Business Name | CARE COUNSELORS, INC
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 2500 E HALLANDALE BEACH BLVD SUITE NUMBER 719
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4834
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Country | US
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Telephone | 786-246-4848
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Fax | 305-396-4611
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Provider Business Mailing Address
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Address Line | 1209 GINGER CIR
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City | WESTON
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State | FL
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Zip | 33326-3630
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Country | US
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Telephone | 786-246-4848
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Fax | 305-396-4611
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. GLORIA NAVAJAS VALDIVIESO
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Credential | LCSW
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Telephone | 786-246-4848
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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 | SW10001
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License Number State | FL
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