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General NPI Number Information
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NPI Number | 1306237730
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Entity Type | Organization
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Legal Business Name | CHOH TREATMENT AND RECOVERY INC
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 907 N DIXIE HWY
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3329
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Country | US
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Telephone | 561-945-2330
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Fax |
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Provider Business Mailing Address
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Address Line | 931 VILLAGE BLVD STE 905-358
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1803
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. TROY JAMES GROGAN
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Credential |
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Telephone | 561-945-2330
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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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