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General NPI Number Information
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NPI Number | 1164592309
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Entity Type | Organization
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Legal Business Name | MEAPRIS COMMUNITY MENTAL HEALTH CORP.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 2475 NW 95TH AVE SUITE 1
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City | DORAL
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State | FL
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Zip | 33172-2328
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Country | US
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Telephone | 305-513-8565
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Fax | 305-513-9505
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Provider Business Mailing Address
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Address Line | 2475 NW 95TH AVE SUITE 1
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City | DORAL
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State | FL
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Zip | 33172-2328
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Country | US
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Telephone | 305-513-8565
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOSE GUNTIN
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Credential |
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Telephone | 305-513-8565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | HCC5711
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License Number State | FL
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