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General NPI Number Information
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NPI Number | 1609058965
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Entity Type | Organization
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Legal Business Name | CRH CLINIC OF FLORIDA INC
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 2301 N UNIVERSITY DR SUITE 203
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3617
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Country | US
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Telephone | 786-276-9878
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Fax | 786-999-8818
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Provider Business Mailing Address
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Address Line | 4040 LAKE WASHINGTON BLVD NE SUITE 100
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City | KIRKLAND
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State | WA
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Zip | 98033-7874
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Country | US
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Telephone | 425-284-7890
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Fax | 425-284-7896
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Authorized Official
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Title or Position | DIRECTOR OF CONTRACTING
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Name | SARAH STANDLEY
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Credential | MBA
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Telephone | 425-284-7890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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