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General NPI Number Information
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NPI Number | 1639230469
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Entity Type | Organization
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Legal Business Name | HEALTHY CONNECTION CMHC INC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 2780 SW 37TH AVE SUITE 206
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City | MIAMI
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State | FL
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Zip | 33133-2740
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Country | US
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Telephone | 305-646-0112
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Fax |
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Provider Business Mailing Address
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Address Line | 2780 SW 37TH AVE SUITE 206
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City | MIAMI
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State | FL
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Zip | 33133-2740
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Country | US
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Telephone | 305-646-0112
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BEATRIZ MARTINEZ
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Credential |
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Telephone | 305-646-0112
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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 | 002349500
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License Number State | FL
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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 | 076321700
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License Number State | FL
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