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General NPI Number Information
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NPI Number | 1376096131
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Entity Type | Organization
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Legal Business Name | SS COUNSELING INC
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 1380 NE MIAMI GARDENS DR SUITE #271
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4707
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Country | US
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Telephone | 541-321-6524
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Fax |
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Provider Business Mailing Address
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Address Line | 1380 NE MIAMI GARDENS DR SUITE #271
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4707
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Country | US
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Telephone | 541-321-6524
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Fax |
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Authorized Official
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Title or Position | CLINICIAN
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Name | MR. SHLOMO SCHLOSS
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Credential | LCSW
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Telephone | 541-321-6524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13567
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License Number State | FL
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