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General NPI Number Information
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NPI Number | 1811157886
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Entity Type | Organization
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Legal Business Name | MILESTONES IN RECOVERY
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 09/12/2021
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Provider Practice Location Address
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Address Line | 2525 EMBASSY DRIVE SUITE # 10
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City | HOLLYWOOD
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State | FL
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Zip | 33026
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Country | US
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Telephone | 800-347-2365
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Fax | 954-703-7927
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Provider Business Mailing Address
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Address Line | 2525 EMBASSY DRIVE SUITE # 10
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City | HOLLYWOOD
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State | FL
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Zip | 33026
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Country | US
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Telephone | 800-347-2365
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Fax | 954-703-7927
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Authorized Official
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Title or Position | COO
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Name | NIKKI BETH GLANTZ
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Credential | RDN
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Telephone | 800-347-2364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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