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General NPI Number Information
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NPI Number | 1033739156
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Entity Type | Organization
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Legal Business Name | SALUDABLEMENTE LLC
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Dates
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Enumeration Date | 04/18/2020
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 8180 NW 36TH ST STE 100
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City | DORAL
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State | FL
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Zip | 33166-6650
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Country | US
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Telephone | 786-486-2798
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Fax |
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Provider Business Mailing Address
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Address Line | 9940 COSTA DEL SOL BLVD
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City | DORAL
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State | FL
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Zip | 33178-2357
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Country | US
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Telephone | 786-486-2798
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANA MATEO
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Credential |
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Telephone | 786-486-2798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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