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General NPI Number Information
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NPI Number | 1508959305
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Entity Type | Organization
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Legal Business Name | MIAMI-DADE COUNTY COMMUNITY ACTION AND HUMAN SERVICES DEPARTMENT
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 701 N.W. 1ST COURT 10TH FLOOR
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City | MIAMI
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State | FL
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Zip | 33136-3923
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Country | US
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Telephone | 786-469-4600
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Fax | 786-469-4679
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Provider Business Mailing Address
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Address Line | 701 N.W. 1ST COURT 10TH FLOOR
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City | MIAMI
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State | FL
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Zip | 33136-3923
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Country | US
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Telephone | 786-469-4600
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Fax | 786-469-4679
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Authorized Official
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Title or Position | DEPARTMENT DIRECTOR
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Name | LUCIA DAVIS-RAIFORD
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Credential |
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Telephone | 305-469-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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