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General NPI Number Information
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NPI Number | 1609318062
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Entity Type | Organization
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Legal Business Name | DRAW NEAR HOPE
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Dates
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Enumeration Date | 11/16/2016
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 1128 ROYAL PALM BEACH BLVD # 381
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1607
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Country | US
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Telephone | 561-921-7258
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Fax |
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Provider Business Mailing Address
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Address Line | 231 NW 14TH AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33444-1658
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Country | US
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Telephone |
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Fax | 844-789-0973
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Authorized Official
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Title or Position | OPERATION MANAGER
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Name | MR. DONOVAN OLIVER BROWN
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Credential |
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Telephone | 561-921-7258
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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 |
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