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General NPI Number Information
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NPI Number | 1902469984
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Entity Type | Organization
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Legal Business Name | CONCERNED AFRICAN WOMEN, INC.
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 18425 NW 2ND AVE STE 350
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4525
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Country | US
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Telephone | 305-621-3700
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Fax | 305-621-0690
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Provider Business Mailing Address
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Address Line | 18425 NW 2ND AVE STE 350
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4525
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Country | US
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Telephone | 305-621-3700
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Fax | 305-621-0690
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | CAROLYN NESBITT
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Credential |
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Telephone | 786-520-7471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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