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General NPI Number Information
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NPI Number | 1295249993
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Entity Type | Organization
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Legal Business Name | CLEAR MINDS HEALTH SERVICES LLC
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Dates
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Enumeration Date | 11/17/2017
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Last Update Date | 11/17/2017
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Provider Practice Location Address
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Address Line | 1738 N MILITARY TRL
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-4714
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Country | US
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Telephone | 561-603-4869
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Fax |
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Provider Business Mailing Address
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Address Line | 1738 N MILITARY TRL
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-4714
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Country | US
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Telephone | 561-603-4869
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFERY JULIEN
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Credential | MS
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Telephone | 561-603-4869
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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 | FL
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