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General NPI Number Information
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NPI Number | 1134633282
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Entity Type | Organization
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Legal Business Name | BEHAVIOR INSTITUTE CORP
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Dates
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Enumeration Date | 11/28/2017
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Last Update Date | 11/28/2017
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Provider Practice Location Address
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Address Line | 2655 S LE JEUNE RD STE 327
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City | CORAL GABLES
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State | FL
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Zip | 33134-5832
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Country | US
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Telephone | 305-733-6271
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Fax |
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Provider Business Mailing Address
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Address Line | 115 SUNRISE DR APT 3A
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City | KEY BISCAYNE
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State | FL
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Zip | 33149-2144
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Country | US
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Telephone | 305-733-6271
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CELSO WILLIAM CHIGNOLI
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Credential |
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Telephone | 305-733-6271
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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