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General NPI Number Information
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NPI Number | 1295513695
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Entity Type | Organization
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Legal Business Name | BROADSPIRE SERVICES, INC.
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 1391 NW 136TH AVE
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City | SUNRISE
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State | FL
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Zip | 33323-2800
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Country | US
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Telephone | 740-487-6978
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Fax |
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Provider Business Mailing Address
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Address Line | 5335 TRIANGLE PKWY NW
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092
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Country | US
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Telephone | 740-487-6978
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Fax |
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Authorized Official
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Title or Position | AVP
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Name | MELISSA MILLS
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Credential | MSN
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Telephone | 740-487-6978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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