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General NPI Number Information
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NPI Number | 1952751786
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Entity Type | Organization
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Legal Business Name | MBR INTERNATIONAL, LLC
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1411 N FLAGLER DR #8900-B
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3404
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Country | US
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Telephone | 561-318-7233
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Fax |
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Provider Business Mailing Address
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Address Line | 1411 N FLAGLER DR #8900-B
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3404
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Country | US
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Telephone | 561-318-7233
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBRA JONES
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Credential | MD
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Telephone | 561-318-7233
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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 | 5002
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License Number State | FL
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Taxonomy #2
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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 | FL
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