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General NPI Number Information
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NPI Number | 1548310295
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Entity Type | Organization
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Legal Business Name | JEWISH COMMUNITY SERVICES OF S FL
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 7875 SW 104TH ST STE 101
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City | MIAMI
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State | FL
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Zip | 33156-2642
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Country | US
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Telephone | 305-740-8998
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Fax | 305-899-6367
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Provider Business Mailing Address
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Address Line | 7875 SW 104TH ST STE 101
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City | MIAMI
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State | FL
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Zip | 33156-2642
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Country | US
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Telephone | 305-740-8998
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Fax | 305-899-6367
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Authorized Official
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Title or Position | GRANTS SPECIALIST
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Name | MARIA PATINO
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Credential |
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Telephone | 305-899-1587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | HCC5251
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License Number State | FL
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