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General NPI Number Information
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NPI Number | 1154669182
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Entity Type | Organization
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Legal Business Name | G & G HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 01/25/2013
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Last Update Date | 01/25/2013
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Provider Practice Location Address
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Address Line | 1590 NE 162ND ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4759
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Country | US
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Telephone | 305-945-8384
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Fax |
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Provider Business Mailing Address
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Address Line | 1177 GEORGE BUSH BLVD
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City | DELRAY BEACH
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State | FL
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Zip | 33483-7288
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Country | US
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Telephone | 305-945-8384
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Fax | 305-940-2888
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PETER HARRIGAN
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Credential |
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Telephone | 786-279-0804
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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 | L12000151488
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License Number State | FL
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