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General NPI Number Information
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NPI Number | 1730717802
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Entity Type | Organization
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Legal Business Name | MDN MENTAL HEALTH SERVICES INC.
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 04/01/2020
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Provider Practice Location Address
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Address Line | 18425 NW 2ND AVE STE 404G
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4500
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Country | US
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Telephone | 305-986-0543
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Fax |
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Provider Business Mailing Address
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Address Line | 701 NE 1ST CT APT 201
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4447
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Country | US
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Telephone | 305-986-0543
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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. ANABEL GARCIA
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Credential |
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Telephone | 305-986-0543
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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 |
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License Number State |
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