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General NPI Number Information
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NPI Number | 1407131840
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Entity Type | Organization
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Legal Business Name | N & C SOCIAL SERVICES CORP
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 1840 W 49TH ST 603-7
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City | HIALEAH
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State | FL
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Zip | 33012-2942
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Country | US
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Telephone | 786-250-8067
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Fax |
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Provider Business Mailing Address
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Address Line | 9052 NW 147TH TER
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City | MIAMI LAKES
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State | FL
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Zip | 33018-7301
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Country | US
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Telephone | 786-250-8067
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. NIURKA SOTOLONGO
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Credential |
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Telephone | 786-250-8067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH6803
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License Number State | FL
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