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General NPI Number Information
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NPI Number | 1134905326
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Entity Type | Organization
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Legal Business Name | IT'S VIVACE EXPRESSIVE THERAPY & MORE LLC
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 2713 NE 4TH AVE
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City | CAPE CORAL
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State | FL
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Zip | 33909-8874
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Country | US
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Telephone | 786-674-0697
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Fax | 786-936-1191
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Provider Business Mailing Address
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Address Line | 1570 W 78TH TER
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City | HIALEAH
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State | FL
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Zip | 33014-3350
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Country | US
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Telephone | 786-674-0697
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Fax | 786-936-1191
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Authorized Official
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Title or Position | THERAPIST
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Name | MR. DIANEL DIEGUEZ NUNEZ
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Credential | MT
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Telephone | 786-526-8839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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