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General NPI Number Information
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NPI Number | 1184262818
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Entity Type | Individual
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Provider Name | DALGYS PEREZ LUJAN
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Gender | Female
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Dates
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Enumeration Date | 12/12/2019
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Last Update Date | 12/12/2019
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Provider Practice Location Address
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Address Line | 70 NW 6TH ST FL 1
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City | HOMESTEAD
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State | FL
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Zip | 33030-5934
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Country | US
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Telephone | 786-601-7887
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Fax |
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Provider Business Mailing Address
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Address Line | 14241 SW 96TH TER
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City | MIAMI
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State | FL
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Zip | 33186-7894
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Country | US
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Telephone | 305-457-2449
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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 | MH17591
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License Number State | FL
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