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NPI 1871158873

NPI 1871158873 : POSITIVE POINT INC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1871158873
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    Entity Type          |    Organization 
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    Legal Business Name  |    POSITIVE POINT INC 
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Dates
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    Enumeration Date     |    05/06/2019
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    Last Update Date     |    05/06/2019
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Provider Practice Location Address
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    Address Line         |    111 NW 183RD STREET SUITE 423 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33169
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    Country              |    US
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    Telephone            |    786-395-5551
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    111 NW 183RD ST STE 423 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33169-4619
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    Country              |    US
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    Telephone            |    786-395-5551
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    Fax                  |    305-705-3236
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     REGINA  RUBINOV 
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    Credential           |    
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    Telephone            |    305-916-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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