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General NPI Number Information
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NPI Number | 1780119917
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Entity Type | Organization
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Legal Business Name | OPEN ARM HOUSING AND CARE
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 4031 NW 91ST TERS
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City | SUNRISE
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State | FL
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Zip | 33351
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Country | US
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Telephone | 863-212-5331
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Fax |
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Provider Business Mailing Address
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Address Line | 4031 NW 91ST TERS
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City | SUNRISE
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State | FL
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Zip | 33351
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Country | US
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Telephone | 863-212-5331
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Fax |
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Authorized Official
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Title or Position | CERO
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Name | MURIEL S COUCOU
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Credential |
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Telephone | 863-212-5331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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