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General NPI Number Information
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NPI Number | 1952432189
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Entity Type | Organization
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Legal Business Name | HABILITATION CENTER FOR THE HANDICAPPED, INC.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 22313 BOCA RIO RD
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City | BOCA RATON
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State | FL
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Zip | 33433-4701
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Country | US
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Telephone | 561-483-4200
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Fax | 561-483-1194
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Provider Business Mailing Address
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Address Line | 22313 BOCA RIO RD
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City | BOCA RATON
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State | FL
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Zip | 33433-4701
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Country | US
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Telephone | 561-483-4200
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Fax | 561-483-1194
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. WILLIAM C. FERRIS
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Credential | MSW,ACSW
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Telephone | 561-483-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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