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General NPI Number Information
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NPI Number | 1689794380
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Entity Type | Organization
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Legal Business Name | DRUG ABUSE TREATMENT ASSOCIATION, INC.
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4590 SELVITZ RD BUILDING B
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City | FORT PIERCE
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State | FL
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Zip | 34981-4801
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Country | US
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Telephone | 772-595-3322
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Fax |
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Provider Business Mailing Address
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Address Line | 1016 CLEMMONS ST SUITE 200
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City | JUPITER
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State | FL
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Zip | 33477-3300
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Country | US
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Telephone | 561-743-1034
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | PAM MIDDLETON
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Credential |
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Telephone | 561-743-1034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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