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General NPI Number Information
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NPI Number | 1902919228
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Entity Type | Organization
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Legal Business Name | FAMILY RESOURCE CENTER OF SOUTH FLORIDA INC
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 155 SOUTH MIAMI AVENUE STE 400
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City | MIAMI
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State | FL
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Zip | 33130-1617
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Country | US
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Telephone | 305-374-6006
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Fax | 305-374-6112
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Provider Business Mailing Address
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Address Line | 155 SOUTH MIAMI AVENUE STE 400
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City | MIAMI
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State | FL
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Zip | 33130-1617
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Country | US
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Telephone | 305-374-6006
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Fax | 305-374-6112
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. OREN W WUNDERMAN
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Credential | PHD
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Telephone | 305-374-6006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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