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General NPI Number Information
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NPI Number | 1528236239
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Entity Type | Organization
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Legal Business Name | COVE CENTER FOR RECOVERY, LLC
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 2499 GLADES RD SUITE 107
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City | BOCA RATON
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State | FL
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Zip | 33431-7209
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Country | US
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Telephone | 954-476-3055
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Fax | 561-955-2695
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Provider Business Mailing Address
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Address Line | 2499 GLADES RD SUITE 107
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City | BOCA RATON
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State | FL
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Zip | 33431-7209
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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 | OWNER
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Name | MR. CHRISTOPHER WALSH
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Credential |
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Telephone | 561-350-0313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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