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General NPI Number Information
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NPI Number | 1760005987
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Entity Type | Organization
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Legal Business Name | BARBON MANAGEMENT SERVICES CO
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 13255 SW 137TH AVE STE 204
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City | MIAMI
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State | FL
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Zip | 33186-5327
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Country | US
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Telephone | 786-539-8927
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Fax |
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Provider Business Mailing Address
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Address Line | 13905 SW 57TH LN
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City | MIAMI
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State | FL
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Zip | 33183-1136
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Country | US
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Telephone | 786-539-8927
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Fax |
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Authorized Official
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Title or Position | TARGET CASE MANAGEMENT
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Name | BELKIS BARBON CRESPO
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Credential |
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Telephone | 786-539-8927
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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