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General NPI Number Information
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NPI Number | 1154749778
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Entity Type | Organization
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Legal Business Name | MIAMI-DADE COUNTY COMMUNITY ACTION AND HUMAN SERVICES DEPARTMENT
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 60 NE 166TH ST
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City | MIAMI
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State | FL
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Zip | 33162-3440
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Country | US
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Telephone | 305-940-0075
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Fax | 305-944-7953
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Provider Business Mailing Address
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Address Line | 60 NE 166TH ST
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City | MIAMI
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State | FL
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Zip | 33162-3440
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Country | US
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Telephone | 305-940-0075
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Fax | 305-944-7953
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Authorized Official
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Title or Position | ACTING CHIEF, ELDERLY SERVICES
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Name | MRS. EDELINE BEAUVAIS MONDESTIN
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Credential | RN, BSN
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Telephone | 786-469-4600
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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 | 312
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License Number State | FL
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