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General NPI Number Information
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NPI Number | 1376968321
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Entity Type | Organization
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Legal Business Name | VERITAS ADDICTION TREATMENT CENTER, LLC
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 1402 ROYAL PALM BEACH BLVD SUITE 600
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1691
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Country | US
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Telephone | 561-723-2533
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Fax |
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Provider Business Mailing Address
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Address Line | 1402 ROYAL PALM BEACH BLVD SUITE 600
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1691
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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 | CEO
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Name | STEPHEN D GUMLEY
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Credential |
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Telephone | 561-723-2533
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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 | 1550AD218901
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License Number State | FL
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