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General NPI Number Information
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NPI Number | 1245931252
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Entity Type | Organization
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Legal Business Name | DAY BREAK COMMUNITY CARE SERVICES, INC.
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 520 NW 165TH ST STE 202A
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City | MIAMI
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State | FL
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Zip | 33169-6343
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Country | US
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Telephone | 954-557-5256
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Fax | 305-402-2919
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Provider Business Mailing Address
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Address Line | 520 NW 165TH ST STE 202A
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City | MIAMI
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State | FL
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Zip | 33169-6343
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Country | US
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Telephone | 954-557-5256
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Fax | 305-402-2919
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR
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Name | MRS. ANGELA M HANSEN
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Credential | LCSW
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Telephone | 786-393-0315
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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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