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General NPI Number Information
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NPI Number | 1164033189
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Entity Type | Organization
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Legal Business Name | ATONEMENT WELLNESS CENTER LLC
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 1810 NE 153RD ST STE 3
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-6004
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Country | US
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Telephone | 305-956-5151
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Fax | 305-956-5150
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Provider Business Mailing Address
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Address Line | 1835 NE MIAMI GARDENS DR # 212
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-5035
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Country | US
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Telephone | 305-956-5151
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Fax | 305-956-5150
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JULIA ARRENDELL
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Credential | M.S.
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Telephone | 305-956-5151
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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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