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General NPI Number Information
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NPI Number | 1174111728
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Entity Type | Individual
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Provider Name | CECILIA TUDELA MONTERO LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2021
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 299 ALHAMBRA CIR STE 418
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City | CORAL GABLES
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State | FL
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Zip | 33134-5117
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Country | US
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Telephone | 305-798-5915
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Fax |
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Provider Business Mailing Address
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Address Line | 445 GRAND BAY DR APT PH-2B
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City | KEY BISCAYNE
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State | FL
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Zip | 33149-1905
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Country | US
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Telephone | 305-798-5915
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH7158
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License Number State | FL
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