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General NPI Number Information
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NPI Number | 1104204544
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Entity Type | Organization
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Legal Business Name | C.M. COMMUNITY SERVICES, INC
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Dates
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Enumeration Date | 05/18/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1651 W 37TH ST STE 404
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City | HIALEAH
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State | FL
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Zip | 33012-4692
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Country | US
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Telephone | 954-626-0878
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Fax | 954-306-8524
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Provider Business Mailing Address
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Address Line | 1651 W 37TH ST STE 404
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City | HIALEAH
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State | FL
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Zip | 33012-4692
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Country | US
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Telephone | 305-960-7113
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Fax | 305-960-7654
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAIN PEREZ HERNANDEZ
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Credential | M.S.
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Telephone | 786-368-1112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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