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General NPI Number Information
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NPI Number | 1053664995
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Entity Type | Individual
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Provider Name | NUBIA SANTOS MS,MED, LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 25 SE 2ND AVE. SUITE 313
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City | MIAMI
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State | FL
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Zip | 33131-1509
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Country | US
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Telephone | 561-212-9121
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Fax | 305-359-9121
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Provider Business Mailing Address
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Address Line | 25 SE 2ND AVE. SUITE 313
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City | MIAMI
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State | FL
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Zip | 33131-1509
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Country | US
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Telephone | 561-212-9121
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Fax | 305-359-9121
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH11122
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License Number State | FL
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