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General NPI Number Information
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NPI Number | 1568872356
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Entity Type | Organization
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Legal Business Name | AISOL, LLC
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 4875 PARK RIDGE BLVD STE 103
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8345
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Country | US
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Telephone | 561-413-5755
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 QUANTUM BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8627
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Country | US
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Telephone | 561-413-5755
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MICHAEL MADDALONI
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Credential |
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Telephone | 561-323-0049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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