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General NPI Number Information
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NPI Number | 1942638218
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Entity Type | Organization
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Legal Business Name | PB TREATMENT
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Dates
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Enumeration Date | 10/24/2013
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 205 WORTH AVE STE 201
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City | PALM BEACH
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State | FL
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Zip | 33480-4650
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Country | US
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Telephone | 603-315-2167
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Fax |
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Provider Business Mailing Address
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Address Line | 255 RUDDER CAY WAY
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City | JUPITER
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State | FL
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Zip | 33458-1645
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | ELISA BELL
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Credential | LMHC
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Telephone | 603-315-2167
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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 | MH11959
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License Number State | FL
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