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General NPI Number Information
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NPI Number | 1427089994
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Entity Type | Organization
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Legal Business Name | MBS COMMUNITY, INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12893 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33175-3435
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Country | US
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Telephone | 305-220-3804
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Fax | 305-223-3455
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Provider Business Mailing Address
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Address Line | 12893 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33175-3435
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Country | US
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Telephone | 305-220-3804
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Fax | 305-223-3455
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATOR
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Name | MRS. SONIA BARBEITE
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Credential | R.N.
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Telephone | 305-220-3804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 5673
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License Number State | FL
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