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General NPI Number Information
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NPI Number | 1306709415
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Entity Type | Organization
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Legal Business Name | THE DETOX CENTER LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 322 W BOYNTON BEACH BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-4025
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Country | US
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Telephone | 561-755-0655
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 BROADWAY
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-5433
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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 | EXECUTIVE
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Name | MICHAEL BITTAR
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Credential |
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Telephone | 561-755-0655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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