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NPI 1194675272

NPI 1194675272 : ATH BEHAVIORAL SERVICES, 'LLC' : HOLLYWOOD, FL

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General NPI Number Information
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    NPI Number           |    1194675272
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    Entity Type          |    Organization 
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    Legal Business Name  |    ATH BEHAVIORAL SERVICES, 'LLC' 
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Dates
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    Enumeration Date     |    01/29/2026
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    Last Update Date     |    01/29/2026
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Provider Practice Location Address
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    Address Line         |    3325 HOLLYWOOD BLVD STE 502 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33021-6921
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    Country              |    US
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    Telephone            |    786-308-6353
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3325 HOLLYWOOD BLVD STE 502 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33021-6921
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    Country              |    US
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    Telephone            |    954-544-5181
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ZAIRA C DUARTE 
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    Credential           |    
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    Telephone            |    786-308-6353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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