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General NPI Number Information
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NPI Number | 1023774932
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Entity Type | Organization
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Legal Business Name | BOYNTON BEACH FLORIDA BEHAVIORAL HEALTH HOSPITAL COMPANY, LLC
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 4905 PARK RIDGE BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8322
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Country | US
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Telephone | 954-354-8632
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Fax |
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Provider Business Mailing Address
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Address Line | 1283 MURFREESBORO PIKE STE 500
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City | NASHVILLE
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State | TN
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Zip | 37217-2421
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Country | US
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Telephone | 629-867-2708
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE GENERAL COUNSEL
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Name | MR. STEFAN CANGE
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Credential |
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Telephone | 629-867-2708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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