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General NPI Number Information
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NPI Number | 1154967891
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Entity Type | Organization
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Legal Business Name | MEDICATION ASSISTED RECOVERY INSTITUTE, LLC
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2900 N MILITARY TRL STE 241
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City | BOCA RATON
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State | FL
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Zip | 33431-6347
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Country | US
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Telephone | 561-464-4949
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Fax | 954-941-5460
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Provider Business Mailing Address
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Address Line | 2900 N MILITARY TRL STE 241
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City | BOCA RATON
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State | FL
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Zip | 33431-6347
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Country | US
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Telephone | 561-353-5607
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Fax | 954-941-5460
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Authorized Official
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Title or Position | OWNER
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Name | MELANIE HOPE ROSENBLATT
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Credential | MD
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Telephone | 561-353-5607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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