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General NPI Number Information
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NPI Number | 1821960113
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Entity Type | Organization
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Legal Business Name | HEADEL TREATMENT SERVICES
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 201 N UNIVERSITY DR STE 103A
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City | PLANTATION
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State | FL
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Zip | 33324-2001
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Country | US
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Telephone | 954-218-6182
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Fax |
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Provider Business Mailing Address
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Address Line | 201 N UNIVERSITY DR STE 103A
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City | PLANTATION
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State | FL
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Zip | 33324-2001
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Country | US
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Telephone | 954-218-6182
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VALRIE YOUNGS
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Credential |
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Telephone | 954-218-6182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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