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General NPI Number Information
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NPI Number | 1508129446
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND: CHILDREN & COMMUNITY SERVICES
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Dates
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Enumeration Date | 06/15/2012
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 705 W 1ST ST
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City | SANFORD
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State | FL
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Zip | 32771-1121
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Country | US
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Telephone | 407-492-8770
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Fax |
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Provider Business Mailing Address
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Address Line | 2575 WESTMINSTER TER
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City | OVIEDO
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State | FL
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Zip | 32765-7568
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Country | US
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Telephone | 407-492-8770
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TRICIA TEAL
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Credential |
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Telephone | 407-492-8770
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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 |
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License Number State |
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