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NPI 1083389613

NPI 1083389613 : MIAMI HEALTH CENTER, LLC : CUTLER BAY, FL

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General NPI Number Information
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    NPI Number           |    1083389613
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    Entity Type          |    Organization 
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    Legal Business Name  |    MIAMI HEALTH CENTER, LLC 
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Dates
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    Enumeration Date     |    08/16/2021
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    Last Update Date     |    10/07/2021
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Provider Practice Location Address
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    Address Line         |    19001 SW 106TH AVE # C109 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33157-7669
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    Country              |    US
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    Telephone            |    305-255-9806
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    Fax                  |    305-255-9807
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Provider Business Mailing Address
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    Address Line         |    18951 SW 106TH AVE # B103 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33157-7668
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    Country              |    US
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    Telephone            |    305-255-9806
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    Fax                  |    305-255-9807
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     DANILO  PARADELA 
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    Credential           |    
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    Telephone            |    305-255-9806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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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        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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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        |    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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