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General NPI Number Information
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NPI Number | 1659779387
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Entity Type | Individual
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Provider Name | CHARLES LEE DINKINS MPA
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Gender | Male
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Dates
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Enumeration Date | 12/11/2014
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Last Update Date | 12/11/2014
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Provider Practice Location Address
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Address Line | 2171 NW 56TH ST HOSANNA COMMUNITY FOUNDATION, INC.
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City | MIAMI
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State | FL
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Zip | 33142-3011
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Country | US
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Telephone | 305-610-4164
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Fax | 305-637-4474
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Provider Business Mailing Address
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Address Line | 2171 NW 56TH STREET HOSANNA COMMUNITY FOUNDATION, INC.
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City | MIAMI
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State | FL
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Zip | 33142
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Country | US
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Telephone | 305-610-4164
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Fax | 305-637-4474
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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