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General NPI Number Information
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NPI Number | 1396383352
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Entity Type | Organization
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Legal Business Name | DEERHAVEN GARDENS, LLC.
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 66 N DEERHAVEN LN
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City | ASHEVILLE
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State | NC
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Zip | 28803-0120
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Country | US
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Telephone | 828-676-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 10285 GROVE LN
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City | COOPER CITY
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State | FL
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Zip | 33328-4009
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Country | US
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Telephone | 858-229-5996
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARCUS A KATZ
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Credential |
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Telephone | 828-772-1722
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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 |
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License Number State |
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