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General NPI Number Information
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NPI Number | 1043992761
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Entity Type | Organization
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Legal Business Name | KEMET HEALTH ONE LLC
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 2332 GALIANO ST FL 2NF
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City | CORAL GABLES
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State | FL
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Zip | 33134-5402
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Country | US
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Telephone | 703-256-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 169 MADISON AVE # 11841
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City | NEW YORK
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State | NY
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Zip | 10016-5101
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Country | US
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Telephone | 703-256-1600
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Fax |
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Authorized Official
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Title or Position | COO
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Name | ANDREW SCHNECK
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Credential |
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Telephone | 703-256-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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