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General NPI Number Information
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NPI Number | 1992112692
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Entity Type | Organization
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Legal Business Name | ABOVE ALL RECOVERY CENTER,LLC
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 06/19/2018
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Provider Practice Location Address
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Address Line | 3550 POWERLINE RD
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City | OAKLAND PARK
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State | FL
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Zip | 33309
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Country | US
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Telephone | 754-300-4518
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Fax | 954-301-2752
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Provider Business Mailing Address
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Address Line | 3550 POWERLINE RD
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City | OAKLAND PARK
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State | FL
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Zip | 33309-5919
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Country | US
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Telephone | 754-300-4518
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Fax | 954-301-2752
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Authorized Official
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Title or Position | DIRECTOR
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Name | JENNIFER REASON
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Credential |
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Telephone | 754-300-4518
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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 |
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License Number State |
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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 | 1023710
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License Number State | FL
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