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General NPI Number Information
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NPI Number | 1144597774
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Entity Type | Organization
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Legal Business Name | GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 10/08/2013
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Provider Practice Location Address
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Address Line | 3950 BISCAYNE BLVD #300
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City | MIAMI
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State | FL
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Zip | 33137-3721
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Country | US
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Telephone | 305-571-2116
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Fax | 305-571-2117
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Provider Business Mailing Address
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Address Line | 14041 ICOT BLVD
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City | CLEARWATER
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State | FL
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Zip | 33760-3702
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Country | US
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Telephone | 727-479-1800
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Fax | 727-479-1800
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | CARLA WASHINKO
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Credential | CFO
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Telephone | 727-479-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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