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General NPI Number Information
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NPI Number | 1538588074
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Entity Type | Organization
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Legal Business Name | NEW BROWARD COMMUNITY CENTER
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 8300 W FLAGLER ST STE 121A
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City | MIAMI
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State | FL
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Zip | 33144-2096
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Country | US
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Telephone | 786-580-5096
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Fax | 786-633-6107
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Provider Business Mailing Address
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Address Line | 8300 W FLAGLER ST STE 121A
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City | MIAMI
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State | FL
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Zip | 33144-2096
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Country | US
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Telephone | 786-580-5096
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Fax | 786-633-6107
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RAUDEL BONNE
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Credential | B.S.
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Telephone | 786-710-1976
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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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