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General NPI Number Information
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NPI Number | 1043765605
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Entity Type | Organization
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Legal Business Name | MIAMI PSYCHIATRIC SERVICES, LLC.
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 12260 SW 8TH ST SUITE 154
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City | MIAMI
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State | FL
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Zip | 33184-1551
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Country | US
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Telephone | 786-409-5503
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Fax | 786-452-1165
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Provider Business Mailing Address
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Address Line | 12260 SW 8TH ST SUITE 154
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City | MIAMI
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State | FL
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Zip | 33184-1551
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Country | US
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Telephone | 786-409-5503
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MYUNA RUIZ
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Credential | M.D.
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Telephone | 786-355-9682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | ME122666
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License Number State | FL
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