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General NPI Number Information
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NPI Number | 1669691473
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Entity Type | Organization
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Legal Business Name | TREATMENT SOLUTIONS OF SO FLORIDA, INC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 150 SW 12TH AVE STE 320
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City | POMPANO BEACH
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State | FL
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Zip | 33069-3238
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Country | US
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Telephone | 877-321-7658
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1446
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City | POMPANO BEACH
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State | FL
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Zip | 33061-1446
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Country | US
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Telephone | 954-587-7771
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Fax | 954-587-7790
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Authorized Official
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Title or Position | COO
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Name | NAZARET ANDEKIAN
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Credential |
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Telephone | 954-949-9018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 1006AD702801
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License Number State | FL
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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 | 1006AD127803
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License Number State | FL
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