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General NPI Number Information
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NPI Number | 1952486219
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MIAMI, INC.
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 10/14/2019
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Provider Practice Location Address
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Address Line | 7707 NW 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33150-2901
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Country | US
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Telephone | 305-795-0077
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Fax | 305-795-2022
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Provider Business Mailing Address
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Address Line | 7707 NW 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33150-2901
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Country | US
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Telephone | 305-795-0077
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Fax | 305-795-2022
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | SANDRA VALDES
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Credential | LCSW, MSW
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Telephone | 305-795-0077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | MT 1646
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License Number State | FL
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