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General NPI Number Information
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NPI Number | 1346293511
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR CHILD AND FAMILY HEALTH INC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 15490 NW 7TH AVE STE 201
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City | MIAMI
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State | FL
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Zip | 33169-6250
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Country | US
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Telephone | 305-685-8245
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Fax | 305-681-4355
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Provider Business Mailing Address
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Address Line | 15490 NW 7TH AVE STE 201
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City | MIAMI DADE
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State | FL
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Zip | 33169-6250
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Country | US
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Telephone | 305-685-8245
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Fax | 305-681-4355
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER CFO
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Name | MRS. IRENE M PHILLIPS
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Credential |
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Telephone | 305-722-5320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 060286801
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 060286803
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 060286800
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License Number State | FL
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