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General NPI Number Information
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NPI Number | 1427753169
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Entity Type | Organization
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Legal Business Name | RECLAIM MENTAL HEALTH, LLC
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 3275 W HILLSBORO BLVD STE 300D
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9474
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Country | US
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Telephone | 954-451-2592
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Fax |
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Provider Business Mailing Address
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Address Line | 3275 W HILLSBORO BLVD STE 300D
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9474
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Country | US
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Telephone | 954-451-2592
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AKIVA M DAUM
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Credential | MD FAPA
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Telephone | 954-451-2592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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