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General NPI Number Information
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NPI Number | 1821619214
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL CARE OF THE TREASURE COAST, INC
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 101 N US HIGHWAY 1 STE 210
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City | FORT PIERCE
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State | FL
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Zip | 34950-4262
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Country | US
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Telephone | 772-501-3033
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Fax | 772-217-2199
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Provider Business Mailing Address
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Address Line | PO BOX 650075
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City | VERO BEACH
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State | FL
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Zip | 32965-0075
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Country | US
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Telephone | 772-501-3033
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Fax | 772-217-2199
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR
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Name | MS. YOLANDA YVETTE TURNER
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Credential |
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Telephone | 772-501-3033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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