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General NPI Number Information
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NPI Number | 1043854284
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Entity Type | Organization
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Legal Business Name | ULERU PROJECT LLC
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Dates
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Enumeration Date | 10/31/2019
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Last Update Date | 10/31/2019
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Provider Practice Location Address
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Address Line | 2000 S DIXIE HWY STE 200
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City | MIAMI
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State | FL
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Zip | 33133-2455
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Country | US
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Telephone | 786-366-2311
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Fax | 305-563-8518
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Provider Business Mailing Address
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Address Line | 2000 S DIXIE HWY STE 200
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City | MIAMI
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State | FL
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Zip | 33133-2455
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Country | US
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Telephone | 786-366-2311
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Fax | 305-563-8518
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. UBERTO LEONE MONDOLFI
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Credential | PH.D.
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Telephone | 786-366-2311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional 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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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License Number State |
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