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General NPI Number Information
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NPI Number | 1457576506
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Entity Type | Organization
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Legal Business Name | ADDICTION RECOVERY & COUNSELING CORPORATION
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 1577 N MILITARY TRL
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-4709
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Country | US
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Telephone | 561-683-5497
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Fax | 561-683-5493
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Provider Business Mailing Address
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Address Line | 655 N MILITARY TRL SUITE 3
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-1305
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Country | US
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Telephone | 561-683-5497
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Fax | 561-683-5493
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. RONALD CORBIN
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Credential |
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Telephone | 561-683-5497
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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 | 0950AD691801
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License Number State | FL
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