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General NPI Number Information
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NPI Number | 1114243250
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Entity Type | Organization
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Legal Business Name | JOSEFINA PEREZ-CASTRO, PA
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Dates
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Enumeration Date | 04/14/2010
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 5001 SW 74TH CT SUITE 105
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City | MIAMI
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State | FL
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Zip | 33155-4483
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Country | US
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Telephone | 305-663-0013
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Fax | 305-663-8138
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Provider Business Mailing Address
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Address Line | 5001 SW 74TH CT SUITE 105
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City | MIAMI
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State | FL
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Zip | 33155-4483
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Country | US
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Telephone | 305-663-0013
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Fax | 305-663-8138
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JOSEFINA PEREZ-CASTRO
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Credential | LCSW
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Telephone | 305-663-0013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | SW001315
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License Number State | FL
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