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General NPI Number Information
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NPI Number | 1003911462
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Entity Type | Organization
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Legal Business Name | COBRE BEHAVIORAL & HEALTH CLINIC CORPORATION
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 306 N.W. 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33125-3031
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Country | US
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Telephone | 786-394-8888
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Fax | 786-394-8777
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Provider Business Mailing Address
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Address Line | 306 N.W. 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33125-3031
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Country | US
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Telephone | 786-394-8888
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Fax | 786-394-8777
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Authorized Official
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Title or Position | PRESIDENT
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Name | DELIO TREJO
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Credential |
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Telephone | 786-553-6726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH4008
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY5395
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY5395
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY7224
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME67164
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME40304
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN3143962
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License Number State | FL
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