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NPI 1528512928

NPI 1528512928 : UNIQUE COMMUNITY MANAGEMENT SERVICES, INC : MIAMI LAKES, FL

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General NPI Number Information
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    NPI Number           |    1528512928
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIQUE COMMUNITY MANAGEMENT SERVICES, INC 
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Dates
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    Enumeration Date     |    08/15/2016
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    Last Update Date     |    08/15/2016
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Provider Practice Location Address
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    Address Line         |    5881 NW 151ST ST STE 106 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33014-2455
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    Country              |    US
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    Telephone            |    786-703-8187
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    Fax                  |    786-703-5111
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Provider Business Mailing Address
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    Address Line         |    5881 NW 151ST ST STE 106 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33014-2455
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    Country              |    US
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    Telephone            |    786-703-8187
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    Fax                  |    786-703-5111
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. MAILYN  CRUZ 
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    Credential           |    
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    Telephone            |    786-322-0862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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