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General NPI Number Information
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NPI Number | 1063353910
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Entity Type | Organization
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Legal Business Name | SSF BEHAVIORAL SUPPORT SERVICES
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 635 W 49TH ST
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City | HIALEAH
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State | FL
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Zip | 33012-3606
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Country | US
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Telephone | 305-884-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 12460 SW 46TH ST
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City | MIAMI
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State | FL
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Zip | 33175-4726
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Country | US
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Telephone | 786-387-8484
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/PRESIDENT
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Name | JULIO CESAR ALFONSO
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Credential |
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Telephone | 786-387-8484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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