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General NPI Number Information
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NPI Number | 1811345440
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Entity Type | Organization
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Legal Business Name | ABL CASE MANAGEMENT, INC.
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 3389 SHERIDAN ST STE: 214
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3606
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Country | US
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Telephone | 800-550-1653
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Fax | 866-516-2396
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Provider Business Mailing Address
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Address Line | 3389 SHERIDAN ST STE: 214
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3606
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Country | US
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Telephone | 800-550-1653
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Fax | 866-516-2396
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. ROLAND BERTHOLD
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Credential |
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Telephone | 800-550-1653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 200915343
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License Number State | FL
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