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General NPI Number Information
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NPI Number | 1083969661
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Entity Type | Individual
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Provider Name | NATASHA VALENTINA GUZMAN LMHC
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Gender | Female
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 15715 S DIXIE HWY STE 320
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City | MIAMI
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State | FL
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Zip | 33157-1883
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Country | US
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Telephone | 786-475-2309
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Fax |
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Provider Business Mailing Address
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Address Line | 15443 SW 102ND PL
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City | MIAMI
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State | FL
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Zip | 33157-1437
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Country | US
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Telephone | 786-663-8573
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Fax |
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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 | MH16597
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH16597
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 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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