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General NPI Number Information
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NPI Number | 1144865494
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Entity Type | Individual
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Provider Name | MALAYNA ROCCA BSW
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Gender | Female
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 12/12/2019
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Provider Practice Location Address
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Address Line | 500 NW 165TH STREET RD STE 100
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City | MIAMI
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State | FL
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Zip | 33169-6306
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Country | US
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Telephone | 786-657-2272
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Fax |
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Provider Business Mailing Address
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Address Line | 14850 W DIXIE HWY APT 118
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City | NORTH MIAMI
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State | FL
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Zip | 33181-1035
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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