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General NPI Number Information
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NPI Number | 1629499835
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND THERAPY, INC.
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Dates
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Enumeration Date | 12/16/2013
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 7431 W ATLANTIC AVE STE 52
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City | DELRAY BEACH
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State | FL
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Zip | 33446-3506
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Country | US
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Telephone | 954-907-0826
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Fax | 561-300-2156
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Provider Business Mailing Address
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Address Line | 702 SE 2ND AVE APT 404
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-5444
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Country | US
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Telephone | 954-907-0826
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Fax | 561-300-2156
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA A MAULDIN
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Credential |
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Telephone | 954-907-0826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | OT5972
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License Number State | FL
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