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General NPI Number Information
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NPI Number | 1467907162
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Entity Type | Organization
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Legal Business Name | VIAMAR HEALTH INSTITUTES OF THE PALM BEACHES, LLC
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 560 VILLAGE BLVD SUITE 365
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1945
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Country | US
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Telephone | 561-293-4677
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Fax |
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Provider Business Mailing Address
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Address Line | 560 VILLAGE BLVD SUITE 365
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1945
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ETHAN LEFEVER
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Credential |
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Telephone | 561-536-4385
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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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Taxonomy #2
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | FL
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