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General NPI Number Information
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NPI Number | 1104473503
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Entity Type | Organization
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Legal Business Name | NEW FOUNDATION COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 9020 SW 137TH AVE STE 225
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City | MIAMI
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State | FL
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Zip | 33186-1432
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Country | US
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Telephone | 786-379-4466
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Fax | 305-363-5957
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Provider Business Mailing Address
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Address Line | 9020 SW 137TH AVE STE 225
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City | MIAMI
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State | FL
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Zip | 33186-1432
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Country | US
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Telephone | 786-379-4466
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Fax | 305-363-5957
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. RICHARD RIOS
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Credential |
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Telephone | 786-379-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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 | 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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