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General NPI Number Information
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NPI Number | 1306637673
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA FRONTLINE RECOVERY CENTER
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 470 S ANDREWS AVE STE 206
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City | POMPANO BEACH
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State | FL
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Zip | 33069-3537
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Country | US
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Telephone | 786-988-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 470 S ANDREWS AVE STE 206
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City | POMPANO BEACH
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State | FL
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Zip | 33069-3537
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Country | US
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Telephone | 786-988-5900
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Fax |
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | SHANNON M ERB
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Credential |
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Telephone | 859-304-4047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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