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General NPI Number Information
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NPI Number | 1043037377
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Entity Type | Individual
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Provider Name | ALFONSO MORALES
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Gender | Male
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 9350 SUNSET DR STE 151
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City | MIAMI
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State | FL
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Zip | 33173-3286
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Country | US
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Telephone | 786-548-1022
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Fax |
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Provider Business Mailing Address
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Address Line | 16252 SW 62ND TER
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City | MIAMI
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State | FL
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Zip | 33193-4467
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Country | US
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Telephone | 786-493-9682
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | SW23597
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW23597
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License Number State | FL
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