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General NPI Number Information
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NPI Number | 1194162636
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Entity Type | Organization
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Legal Business Name | PARTNERS IN TREATMENT
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Dates
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Enumeration Date | 05/23/2013
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 1489 N MILITARY TRL STE 114
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6057
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Country | US
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Telephone | 561-222-4724
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Fax |
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Provider Business Mailing Address
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Address Line | 1489 N MILITARY TRL STE 114
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6057
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Country | US
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Telephone | 561-632-5663
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE/CLINICAL DIRECTOR
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Name | MRS. DORIS A CARROLL
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Credential | MS,CPP, CAP
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Telephone | 561-632-5663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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 | IMH8296
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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