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General NPI Number Information
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NPI Number | 1962648584
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Entity Type | Organization
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Legal Business Name | EMPOWERING LIVES & FAMILIES
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Dates
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Enumeration Date | 01/02/2009
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Last Update Date | 01/02/2009
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Provider Practice Location Address
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Address Line | 15303 84TH AVE N
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City | WEST PALM BEACH
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State | FL
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Zip | 33418-7332
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Country | US
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Telephone | 561-747-3562
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Fax | 561-630-8007
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Provider Business Mailing Address
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Address Line | 15303 84TH AVE N
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City | WEST PALM BEACH
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State | FL
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Zip | 33418-7332
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Country | US
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Telephone | 561-747-3562
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Fax | 561-630-8007
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. TROI MAURICE STOESSEL
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Credential | MBA
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Telephone | 561-747-3562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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