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General NPI Number Information
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NPI Number | 1811309594
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Entity Type | Organization
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Legal Business Name | FLORIDA SOCIAL SOLUTIONS, INC.
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 05/29/2014
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Provider Practice Location Address
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Address Line | 750 S ORANGE BLOSSOM TRL SUITE 173
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City | ORLANDO
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State | FL
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Zip | 32805-3118
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Country | US
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Telephone | 407-276-0126
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Fax | 888-481-6493
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Provider Business Mailing Address
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Address Line | 750 S ORANGE BLOSSOM TRL SUITE 173
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City | ORLANDO
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State | FL
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Zip | 32805-3118
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Country | US
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Telephone | 407-276-0126
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Fax | 888-481-6493
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Authorized Official
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Title or Position | MENTAL HEALTH TARGETED CASE MANAGER
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Name | SHONAY ATHENA DANRIDGE
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Credential | M.S
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Telephone | 407-779-4614
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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 | D563781889170
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License Number State | FL
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