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General NPI Number Information
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NPI Number | 1962859983
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Entity Type | Organization
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Legal Business Name | MIAMI BEACH HOLISTIC ADDICTION TREATMENT CENTER, LLC.
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 309 23RD ST STE 200C
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City | MIAMI BEACH
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State | FL
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Zip | 33139-1700
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Country | US
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Telephone | 305-763-8357
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Fax | 305-397-2117
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Provider Business Mailing Address
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Address Line | 4045 SHERIDAN AVE STE 236
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3665
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Country | US
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Telephone | 305-763-8357
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Fax | 305-397-2117
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Authorized Official
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Title or Position | FINANCE DIRETOR
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Name | KAREN BARRY
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Credential |
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Telephone | 305-763-8357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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