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General NPI Number Information
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NPI Number | 1972870087
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Entity Type | Organization
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Legal Business Name | ALPHA COMMUNITY MENTAL HEALTH CENTER INC
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Dates
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Enumeration Date | 11/18/2011
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 7811 SW 24TH ST SUITE 137
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City | MIAMI
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State | FL
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Zip | 33155-6540
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Country | US
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Telephone | 305-264-3225
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Fax | 305-264-4838
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Provider Business Mailing Address
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Address Line | 7811 SW 24TH ST SUITE 137
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City | MIAMI
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State | FL
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Zip | 33155-6540
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Country | US
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Telephone | 305-264-3225
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Fax | 305-264-4838
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARIA MUSSINI
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Credential |
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Telephone | 305-264-3225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | HCC8610
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License Number State | FL
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