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General NPI Number Information
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NPI Number | 1629687520
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Entity Type | Organization
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Legal Business Name | FRONTLINE RECOVERY CENTER, INC
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 6503 SW 19TH ST
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-4808
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Country | US
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Telephone | 786-273-1807
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Fax |
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Provider Business Mailing Address
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Address Line | 6503 SW 19TH ST
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-4808
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Country | US
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Telephone | 786-273-1807
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. HERVE FRANCK
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Credential | CAP
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Telephone | 786-273-1807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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