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General NPI Number Information
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NPI Number | 1164516720
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Entity Type | Individual
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Provider Name | DAVID O ECHAVARRIA PHD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1790 W 49TH ST. SUITE 206
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City | HIALEAH
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State | FL
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Zip | 33012
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Country | US
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Telephone | 305-826-2754
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Fax | 305-861-4405
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Provider Business Mailing Address
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Address Line | 1250 KANE CONCOURSE
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City | MIAMI
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State | FL
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Zip | 33154-1938
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Country | US
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Telephone | 305-826-2754
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY3493
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License Number State | FL
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