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General NPI Number Information
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NPI Number | 1104565175
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH AND ADDICTIONS SERVICES CORP
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Dates
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Enumeration Date | 05/30/2022
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 7001 SW 97TH AVE STE 208
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City | MIAMI
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State | FL
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Zip | 33173-1410
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Country | US
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Telephone | 786-380-7171
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Fax | 786-364-0140
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Provider Business Mailing Address
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Address Line | 7001 SW 97TH AVE STE 208
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City | MIAMI
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State | FL
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Zip | 33173-1410
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Country | US
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Telephone | 786-380-7171
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SAILY DELGADO ABRAHAM
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Credential |
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Telephone | 786-380-7171
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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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