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General NPI Number Information
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NPI Number | 1710244470
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Entity Type | Organization
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Legal Business Name | ALL BEHAVIORAL CASE MANAGEMENT SERVICE INC
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 5201 BLUE LAGOON DR FL 9
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City | MIAMI
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State | FL
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Zip | 33126-7050
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Country | US
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Telephone | 786-334-1757
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Fax |
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Provider Business Mailing Address
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Address Line | 5201 BLUE LAGOON DR FL 9
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City | MIAMI
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State | FL
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Zip | 33126-7050
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Country | US
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Telephone | 786-334-1757
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DANIURYS REGALON
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Credential | BA
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Telephone | 786-334-1757
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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 | 00725250-5
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License Number State | FL
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