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General NPI Number Information
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NPI Number | 1033829460
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Entity Type | Organization
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Legal Business Name | CYBERTALEX BEHAVIORAL CENTER CORP
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 13549 SW 11TH LN
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City | MIAMI
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State | FL
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Zip | 33184-1837
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Country | US
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Telephone | 305-303-2240
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Fax |
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Provider Business Mailing Address
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Address Line | 13549 SW 11TH LN
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City | MIAMI
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State | FL
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Zip | 33184-1837
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Country | US
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Telephone | 305-303-2240
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEJANDRO ESPINOSA
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Credential |
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Telephone | 305-842-8281
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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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