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General NPI Number Information
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NPI Number | 1083410633
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Entity Type | Organization
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Legal Business Name | FIREFLIES HEALING CENTER
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 418 BROADWAY STE N
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 865-964-3780
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Fax |
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Provider Business Mailing Address
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Address Line | 300 REGAL APT 631
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City | IRVINE
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State | CA
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Zip | 92620-3528
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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 | MANAGING DIRECTOR
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Name | AIMAN AAL
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Credential |
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Telephone | 424-333-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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