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General NPI Number Information
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NPI Number | 1881452225
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Entity Type | Organization
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Legal Business Name | REBECCA INMAN LLC
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 1600 26TH ST STE 4
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City | VERO BEACH
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State | FL
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Zip | 32960-3337
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Country | US
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Telephone | 772-742-2020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 333
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City | ROSELAND
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State | FL
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Zip | 32957-0333
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Country | US
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Telephone | 772-742-2020
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | REBECCA INMAN
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Credential | LMHC, NCC, MBA
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Telephone | 772-742-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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