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General NPI Number Information
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NPI Number | 1295107951
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Entity Type | Organization
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Legal Business Name | FLORIDA ADDICTION AND RECOVERY CENTER INC
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Dates
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Enumeration Date | 10/21/2015
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 3601 W COMMERCIAL BLVD SUITE # 35
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3300
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Country | US
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Telephone | 844-923-3428
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 W COMMERCIAL BLVD SUITE # 35
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3300
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Country | US
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Telephone | 844-923-3428
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Fax |
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | LINDA BUTO GONZALEZ
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Credential |
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Telephone | 844-923-3428
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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 |
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License Number State |
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