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General NPI Number Information
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NPI Number | 1952795585
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Entity Type | Organization
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Legal Business Name | DISCOVERING THE SOLUTION LLC
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 1013 MAR WALT DR STE C
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6789
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Country | US
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Telephone | 850-586-7818
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Fax | 850-586-7819
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Provider Business Mailing Address
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Address Line | 1013 MAR WALT DR STE C
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6789
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Country | US
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Telephone | 850-586-7818
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Fax | 850-586-7819
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Authorized Official
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Title or Position | COO
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Name | GERARD PERILLO
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Credential |
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Telephone | 850-586-7818
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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 | 0146AD4009-01
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License Number State | FL
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