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General NPI Number Information
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NPI Number | 1851545156
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Entity Type | Organization
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Legal Business Name | HEALTHY FAMILIES BROWARD
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 915 MIDDLE RIVER DR STE 120
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-3559
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Country | US
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Telephone | 786-318-8915
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Fax |
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Provider Business Mailing Address
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Address Line | 915 MIDDLE RIVER DR STE 120
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-3559
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Country | US
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Telephone | 786-318-8915
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Fax |
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Authorized Official
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Title or Position | FAMILY SUPPORT WORKER SUPERVISOR
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Name | MS. GUERLINE SERAPHIN
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Credential |
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Telephone | 786-318-8915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | S615280765550
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License Number State | FL
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