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STATE OF FLORIDA SUBSTANCE ABUSE & MENTAL HEALTH OUTCOME FORM (* Mandatory Fields) 1. *PROVIDER IDENTIFIER: 593029469 U 2. 3. 8. 9. *Client ID# Name SSN PURPOSE OF EVALUATION: 1 Admission/initiation
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What is 10 site id 11?
10 site id 11 is a unique identifier for a specific site location.
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Any individual or organization responsible for the site must file 10 site id 11.
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