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General NPI Number Information
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NPI Number | 1114178944
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Entity Type | Organization
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Legal Business Name | DRIM INC
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 1150 E HALLANDALE BEACH BLVD SUITE 'D'
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4489
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Country | US
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Telephone | 954-965-6924
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Fax | 954-454-5992
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Provider Business Mailing Address
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Address Line | 1150 E HALLANDALE BEACH BLVD SUITE 'D'
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4489
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Country | US
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Telephone | 954-965-6924
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Fax | 954-454-5992
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MAURICE TZORFATI
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Credential |
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Telephone | 954-965-6924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA6398
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License Number State | FL
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