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General NPI Number Information
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NPI Number | 1144055161
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Entity Type | Organization
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Legal Business Name | GOOD BEHAVIOR CM LLC
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 11747 SW 99TH LN
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City | MIAMI
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State | FL
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Zip | 33186-2752
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Country | US
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Telephone | 786-424-0936
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Fax |
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Provider Business Mailing Address
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Address Line | 11747 SW 99TH LN
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City | MIAMI
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State | FL
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Zip | 33186-2752
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Country | US
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Telephone | 786-274-9139
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Fax | 786-901-8337
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLARA R MORA BLAZQUEZ
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Credential |
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Telephone | 786-274-9139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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