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NPI 1992121511

NPI 1992121511 : BOCA RATON FAMILY COUNSELING,LLC : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1992121511
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    Entity Type          |    Organization 
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    Legal Business Name  |    BOCA RATON FAMILY COUNSELING,LLC 
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Dates
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    Enumeration Date     |    03/06/2014
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    21301 POWERLINE RD STE 304 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33433-2391
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    Country              |    US
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    Telephone            |    561-441-9933
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    Fax                  |    561-997-2533
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Provider Business Mailing Address
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    Address Line         |    5698 SAINT ANNES WAY 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33496-2541
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    Country              |    US
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    Telephone            |    561-441-9933
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    Fax                  |    561-997-2533
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Authorized Official
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    Title or Position    |    OWNER/PROVIDER
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    Name                 |     REBECCA DIANE KLASFELD 
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    Credential           |    LCSW
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    Telephone            |    561-441-9933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    SW11202
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    License Number State |    FL
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