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General NPI Number Information
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NPI Number | 1811315211
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Entity Type | Organization
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Legal Business Name | MIAMI DADE COUNTY COMMUNITY ACTION AND HUMAN SERVICES DEPARTMENT
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 701 NW 1ST CT FL 11
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City | MIAMI
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State | FL
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Zip | 33136-3902
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Country | US
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Telephone | 786-469-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 701 NW 1ST CT FL 11
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City | MIAMI
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State | FL
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Zip | 33136-3902
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Country | US
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Telephone | 786-469-4600
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Fax |
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Authorized Official
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Title or Position | ACTING CHIEF, ELDERLY SERVICES
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Name | MRS. EDELINE BEAUVAIS MONDESTIN
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Credential | RN, BSN
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Telephone | 786-469-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 4997
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License Number State | FL
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