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General NPI Number Information
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NPI Number | 1861234270
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Entity Type | Organization
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Legal Business Name | BUE ABA FLORIDA LLC
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 1688 MERIDIAN AVE STE 700
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City | MIAMI BEACH
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State | FL
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Zip | 33139-2713
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Country | US
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Telephone | 305-351-0368
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Fax |
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Provider Business Mailing Address
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Address Line | 3921 ALTON RD UNIT 107
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3852
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Country | US
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Telephone | 786-521-1587
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GERSHON FINK
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Credential | DO
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Telephone | 786-521-1587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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