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General NPI Number Information
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NPI Number | 1013380518
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Entity Type | Individual
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Provider Name | ROSALY QUINTERO LMHC
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Gender | Female
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 5001 SW 74TH CT #104
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City | MIAMI
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State | FL
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Zip | 33155-4483
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Country | US
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Telephone | 305-663-0013
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Fax | 305-663-8138
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Provider Business Mailing Address
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Address Line | 1140 NE 191ST ST APT. D-23
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City | MIAMI
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State | FL
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Zip | 33179-4089
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Country | US
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Telephone | 305-308-3281
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MH12303
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License Number State | FL
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