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General NPI Number Information
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NPI Number | 1902269475
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE ADDICTION TREATMENT OF DEERFIELD BEACH, LLC
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 1800 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1484
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Country | US
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Telephone | 731-431-3827
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Fax |
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Provider Business Mailing Address
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Address Line | 40 CREST RIDGE DR
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City | JACKSON
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State | TN
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Zip | 38305-8502
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. HENRY KIN-SUN LUI II
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Credential |
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Telephone | 731-431-3827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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