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General NPI Number Information
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NPI Number | 1013227131
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Entity Type | Organization
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Legal Business Name | BRT COUNSELING INC.
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 4982 W ATLANTIC BLVD
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City | MARGATE
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State | FL
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Zip | 33063-5300
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Country | US
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Telephone | 954-977-3112
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Fax |
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Provider Business Mailing Address
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Address Line | 4982 W ATLANTIC BLVD
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City | MARGATE
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State | FL
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Zip | 33063-5300
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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 | CEO
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Name | PETER BURGGRAF
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Credential |
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Telephone | 954-482-1981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 1706ADS91301
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License Number State | FL
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