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General NPI Number Information
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NPI Number | 1114876547
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Entity Type | Organization
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Legal Business Name | GARDEN HEIGHTS OPERATING SUBSIDIARY, LLC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 1450 ROUTE 22 STE 202
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-2619
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Country | US
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Telephone | 908-569-1284
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 10TH AVE N
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City | PALM SPRINGS
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State | FL
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Zip | 33461-3000
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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 | AUTHORIZED OFFICIAL
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Name | DANIEL MOORE
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Credential |
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Telephone | 561-517-3400
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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 |
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License Number State |
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