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General NPI Number Information
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NPI Number | 1063398618
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Entity Type | Organization
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Legal Business Name | BREASTIES CENTER FOR WOMEN
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 8900 SW 88TH ST
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City | MIAMI
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State | FL
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Zip | 33176-2118
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Country | US
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Telephone | 305-310-4737
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Fax |
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Provider Business Mailing Address
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Address Line | 2841 SW 17TH ST
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City | MIAMI
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State | FL
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Zip | 33145-1905
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Country | US
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Telephone | 305-310-4737
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. CARIDAD LORIE
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Credential |
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Telephone | 305-310-4737
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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