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General NPI Number Information
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NPI Number | 1609237858
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Entity Type | Organization
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Legal Business Name | NORTHSTAR COLLABORATION HEALTH INSTITUTE, INC
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Dates
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Enumeration Date | 03/16/2016
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 11382 PROSPERITY FARMS RD SUITE 224/225
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3463
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Country | US
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Telephone | 954-895-8062
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Fax |
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Provider Business Mailing Address
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Address Line | 11382 PROSPERITY FARMS RD SUITE 224/225
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3463
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Country | US
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Telephone | 954-895-8062
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JAMES O HILL II
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Credential | D.O.
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Telephone | 954-895-8062
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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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