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General NPI Number Information
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NPI Number | 1932471620
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Entity Type | Organization
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Legal Business Name | ATLANTIC COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 200 KNUTH RD SUITE 238
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4629
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Country | US
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Telephone | 561-734-6100
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Fax | 561-969-9067
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Provider Business Mailing Address
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Address Line | 200 KNUTH RD SUITE 238
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4629
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Country | US
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Telephone | 561-734-6100
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Fax | 561-969-9067
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Authorized Official
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Title or Position | OWNER
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Name | MS. ESSIE TARR
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Credential | ARNP MS BC CHT
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Telephone | 561-734-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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