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General NPI Number Information
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NPI Number | 1972324002
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Entity Type | Organization
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Legal Business Name | A NEW VISION TREATMENT CENTER, LLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 6221 GOODLAND AVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3023
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Country | US
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Telephone | 310-600-5633
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Fax |
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Provider Business Mailing Address
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Address Line | 18459 PINES BLVD # 410
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1400
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Country | US
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Telephone | 561-305-9368
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FAWZI FAROUN
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Credential |
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Telephone | 561-305-9638
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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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