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General NPI Number Information
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NPI Number | 1932571460
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Entity Type | Organization
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Legal Business Name | PLANT A SEED
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Dates
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Enumeration Date | 10/23/2015
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 2021 AVENUE D
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City | FORT PIERCE
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State | FL
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Zip | 34950-2747
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Country | US
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Telephone | 772-486-0733
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Fax | 772-468-0120
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Provider Business Mailing Address
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Address Line | 2021 AVENUE D
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City | FORT PIERCE
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State | FL
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Zip | 34950-2747
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Country | US
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Telephone | 772-486-0733
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Fax | 772-468-0120
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALBERT PIGOZZI
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Credential |
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Telephone | 772-486-0733
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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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