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General NPI Number Information
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NPI Number | 1114772175
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Entity Type | Organization
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Legal Business Name | MONARCA MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 630 W 18TH ST APT 207
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City | HIALEAH
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State | FL
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Zip | 33010-2452
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Country | US
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Telephone | 786-327-4840
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Fax |
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Provider Business Mailing Address
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Address Line | 630 W 18TH ST APT 207
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City | HIALEAH
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State | FL
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Zip | 33010-2452
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHILY VARELA
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Credential |
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Telephone | 786-327-4840
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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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