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General NPI Number Information
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NPI Number | 1376848226
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH TRANSPORT
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 01/24/2011
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Provider Practice Location Address
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Address Line | 2881 E OAKLAND PARK BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1813
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Country | US
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Telephone | 954-522-0100
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Fax | 954-522-0104
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Provider Business Mailing Address
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Address Line | 1971 SW BILTMORE ST
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City | PORT ST LUCIE
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State | FL
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Zip | 34984-4388
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Country | US
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Telephone | 954-522-0100
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Fax | 954-522-0104
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Authorized Official
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Title or Position | OWNER
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Name | HARALAMBOS ARTHUR BARAKOS
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Credential |
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Telephone | 772-398-0845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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