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1275809964
DELETE ORGANIZATION NPI
WEST PALM BEACH, FL
NPI
1275809964
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Entity Type
Organization
Authorized Contact
RONALD WILLIAM FOX
Therapist/Supervisor
772-873-8811
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2012-03-27
Last Update Date
2012-04-03
Business Address
DELETE ORGANIZATION NPI
1551 FORUM PL
WEST PALM BEACH, FL 33401-2319
Phone number: 561-712-8821
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Mailing Address
DELETE ORGANIZATION NPI
1062 SW PAYNE AVE
PORT ST LUCIE, FL 34953-3472
Phone number: 772-249-5878
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