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General NPI Number Information
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NPI Number | 1871076752
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Entity Type | Organization
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Legal Business Name | UNITED CEREBRAL PALSY OF BROWARD COUNTY
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 3595 2ND AVENUE N
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City | LAKE WORTH
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State | FL
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Zip | 33461-3346
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Country | US
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Telephone | 561-357-7779
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Fax |
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Provider Business Mailing Address
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Address Line | 3595 2ND AVENUE N
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City | LAKE WORTH
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State | FL
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Zip | 33461-2707
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Country | US
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Telephone | 954-315-4041
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Fax | 954-315-4099
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | MS. JENNIFER PHIPPS
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Credential |
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Telephone | 954-584-7178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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