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General NPI Number Information
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NPI Number | 1013164417
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC OPTIONS, INC.
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 3213 SW 26TH ST
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City | MIAMI
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State | FL
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Zip | 33133-2025
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Country | US
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Telephone | 786-399-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 3213 SW 26TH ST
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City | MIAMI
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State | FL
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Zip | 33133-2025
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Country | US
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Telephone | 786-399-4444
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. LOURDES PUENTES
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Credential | LMHC
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Telephone | 305-225-4432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | MH8438
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License Number State | FL
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