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General NPI Number Information
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NPI Number | 1013885094
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Entity Type | Individual
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Provider Name | TALIA RENNER
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Gender | Female
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 12000 BISCAYNE BLVD STE 609
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2727
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Country | US
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Telephone | 305-917-2105
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Fax |
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Provider Business Mailing Address
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Address Line | 2775 NE 187TH ST APT 616
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City | AVENTURA
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State | FL
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Zip | 33180-2982
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Country | US
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Telephone | 305-335-8847
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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 | IMH26875
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License Number State | FL
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