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General NPI Number Information
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NPI Number | 1003358250
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Entity Type | Organization
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Legal Business Name | ACADEMY HEALTH SOLUTIONS
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1650 S DIXIE HIGHWAY 203
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City | BOCA RATON
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State | FL
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Zip | 33432-8424
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Country | US
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Telephone | 305-725-8447
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Fax |
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Provider Business Mailing Address
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Address Line | 501 10TH STREET
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City | LAKE PARK
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State | FL
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Zip | 33403
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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 | OWNER
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Name | MIMI BIEDA
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Credential |
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Telephone | 305-725-8447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 5001
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License Number State | FL
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