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General NPI Number Information
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NPI Number | 1043545387
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Entity Type | Organization
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Legal Business Name | LUZ MARIA BERRIO, PSYD, PA
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 10/05/2009
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Provider Practice Location Address
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Address Line | 1550 MADRUGA AVE SUITE 510
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City | CORAL GABLES
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State | FL
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Zip | 33146-3039
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Country | US
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Telephone | 305-951-5096
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 MADRUGA AVE SUITE 510
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City | CORAL GABLES
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State | FL
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Zip | 33146-3039
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Country | US
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Telephone | 305-951-5096
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LUZ MARIA BERRIO
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Credential | PSYD
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Telephone | 305-951-5096
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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 | PY7497
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License Number State | FL
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