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General NPI Number Information
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NPI Number | 1902298128
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Entity Type | Organization
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Legal Business Name | ADVANCED CARE SERVICES, INC
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Dates
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Enumeration Date | 02/25/2015
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1620 NE 148TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33181-1021
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Country | US
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Telephone | 305-705-6445
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Fax | 888-890-6583
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Provider Business Mailing Address
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Address Line | 1620 NE 148TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33181-1021
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Country | US
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Telephone | 786-298-7379
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | DR. DAVID CORADIN
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Credential | MD,
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Telephone | 954-501-5274
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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 |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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