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General NPI Number Information
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NPI Number | 1588074306
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Entity Type | Organization
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Legal Business Name | JEWISH COMMUNITY SERVICES OF SOUTH FLORIDA, INC.
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 610 ESPANOLA WAY
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City | MIAMI BEACH
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State | FL
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Zip | 33139-3969
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Country | US
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Telephone | 305-673-6060
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Fax | 305-673-2522
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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 | 305-670-1911
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Fax | 305-670-2049
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | SIXTO MONTANO
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Credential |
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Telephone | 305-403-6513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable 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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