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General NPI Number Information
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NPI Number | 1467513788
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Entity Type | Organization
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Legal Business Name | SUCCESS 4 KIDS AND FAMILIES, INC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 2902 N ARMENIA AVE STE 200
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City | TAMPA
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State | FL
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Zip | 33607-1660
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Country | US
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Telephone | 813-490-5490
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Fax | 813-490-5495
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Provider Business Mailing Address
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Address Line | 2902 N ARMENIA AVE STE 200
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City | TAMPA
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State | FL
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Zip | 33607-1660
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Country | US
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Telephone | 813-490-5490
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Fax | 813-490-5495
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PAMELA C JEFFRE
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Credential | LCSW
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Telephone | 813-871-7412
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1329AD353201
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License Number State | FL
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