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General NPI Number Information
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NPI Number | 1942419361
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Entity Type | Organization
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Legal Business Name | THE COUNCIL ON AGING OF MARTIN COUNTY INC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 900 SE SALERNO RD
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City | STUART
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State | FL
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Zip | 34997-6405
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Country | US
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Telephone | 772-223-7800
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Fax | 772-678-6066
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Provider Business Mailing Address
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Address Line | 900 SE SALERNO RD
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City | STUART
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State | FL
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Zip | 34997-6405
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Country | US
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Telephone | 772-223-7800
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Fax | 772-678-6066
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | KAREN RIPPER
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Credential |
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Telephone | 772-223-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 331
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License Number State | FL
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