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General NPI Number Information
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NPI Number | 1386167088
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Entity Type | Organization
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Legal Business Name | REBOUND WELLNESS CENTERS, LLC
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5829 CORPORATE WAY
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City | WEST PALM BEACH
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State | FL
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Zip | 33410
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Country | US
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Telephone | 561-722-8055
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Fax |
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Provider Business Mailing Address
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Address Line | 5829 CORPORATE WAY
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2021
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Country | US
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Telephone | 561-722-8055
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. CATHY ANN CLAUD
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Credential | MNM,CAP,CPP
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Telephone | 561-722-8055
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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 | PENDING
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License Number State | FL
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