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General NPI Number Information
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NPI Number | 1043231681
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Entity Type | Individual
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Provider Name | ROSA MARIA DIAZ LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1000 PARK CENTRE BLVD 138
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-5373
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Country | US
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Telephone | 786-466-2900
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Fax | 786-466-2928
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Provider Business Mailing Address
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Address Line | 3199 S OCEAN DR 503E
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-7229
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Country | US
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Telephone | 954-458-0918
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT1810
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License Number State | FL
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