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General NPI Number Information
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NPI Number | 1598206658
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Entity Type | Organization
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Legal Business Name | DELRAY RECOVERY CENTER
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5402 EAST AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2344
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Country | US
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Telephone | 561-921-4775
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Fax |
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Provider Business Mailing Address
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Address Line | 5410 EAST AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2344
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Country | US
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Telephone | 561-921-4775
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JOE MONITTO
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Credential |
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Telephone | 561-894-4161
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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 | 5008
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License Number State | FL
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