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General NPI Number Information
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NPI Number | 1588065676
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Entity Type | Organization
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Legal Business Name | FAMILY ENRICHMENT BEHAVIORAL HEALTH SYSTEMS II, INC.
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 6067 HOLLYWOOD BLVD SUITE 335
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City | HOLLYWOOD
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State | FL
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Zip | 33024-7947
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Country | US
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Telephone | 954-367-3600
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Fax | 954-367-3601
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Provider Business Mailing Address
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Address Line | 6067 HOLLYWOOD BLVD SUITE 335
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City | HOLLYWOOD
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State | FL
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Zip | 33024-7947
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Country | US
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Telephone | 954-367-3600
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Fax | 954-367-3601
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Authorized Official
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Title or Position | CEO
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Name | YVES JOSEPH
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Credential | MS CABA
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Telephone | 954-367-3600
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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 | 1821240196
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License Number State | FL
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