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General NPI Number Information
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NPI Number | 1396312021
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Entity Type | Organization
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Legal Business Name | 901 45TH STREET WEST PALM BEACH FLORIDA BEHAVIORAL HEALTH HOSPITAL LLC
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 993 45TH ST
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City | MANGONIA PARK
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State | FL
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Zip | 33407-2413
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Country | US
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Telephone | 561-257-3348
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Fax |
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Provider Business Mailing Address
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Address Line | 993 45TH ST
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City | MANGONIA PARK
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State | FL
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Zip | 33407-2413
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Country | US
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Telephone | 561-257-3348
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALEXIS ALTIER
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Credential |
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Telephone | 561-299-4164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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