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General NPI Number Information
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NPI Number | 1740661644
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Entity Type | Organization
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Legal Business Name | AION HEALTH LLC
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 500 GULFSTREAM BLVD SUITE 110
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City | DELRAY BEACH
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State | FL
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Zip | 33483-6144
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Country | US
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Telephone | 561-455-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 500 GULFSTREAM BLVD SUITE 110
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City | DELRAY BEACH
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State | FL
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Zip | 33483-6144
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | ERIK DOLGOFF
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Credential |
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Telephone | 561-455-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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