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General NPI Number Information
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NPI Number | 1548703259
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Entity Type | Organization
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Legal Business Name | TREATMENT CENTERS OF NORTH AMERICA
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 777 SOUTH FLAGLER DR WEST TOWER/SUITE #800
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City | WEST PALM BEACH
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State | FL
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Zip | 33401
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Country | US
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Telephone | 800-498-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 777 S FLAGLER DR WEST TOWER/SUITE #800
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6161
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Country | US
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Telephone | 800-498-0550
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | KEVIN CARROLL
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Credential |
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Telephone | 561-516-0596
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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 | FL
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