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General NPI Number Information
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NPI Number | 1922557446
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Entity Type | Organization
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Legal Business Name | RECOVERY IN THE LIGHT
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 04/28/2017
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Provider Practice Location Address
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Address Line | 5001 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6515
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Country | US
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Telephone | 855-366-5224
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Fax | 855-768-4701
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Provider Business Mailing Address
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Address Line | 5001 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6515
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Country | US
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Telephone | 855-366-5224
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Fax | 855-768-4701
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Authorized Official
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Title or Position | BILLING COLLECTION MANAGER
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Name | CATHY PICILLO
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Credential |
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Telephone | 954-993-7165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | FL
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