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General NPI Number Information
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NPI Number | 1861010522
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Entity Type | Organization
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Legal Business Name | REALITY COMMUNITY HEALTH SERVICES INC.
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 7900 NW 27TH AVE UNIT B3
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City | MIAMI
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State | FL
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Zip | 33147-4910
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Country | US
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Telephone | 305-502-0340
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Fax |
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Provider Business Mailing Address
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Address Line | 7900 NW 27TH AVE UNIT B3
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City | MIAMI
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State | FL
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Zip | 33147-4910
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Country | US
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Telephone | 305-502-0340
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VANDILLA PATRICIA MCCLENDON
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Credential | MSW
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Telephone | 305-502-0340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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