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General NPI Number Information
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NPI Number | 1184413668
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Entity Type | Individual
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Provider Name | XIOMARA PEREZ CBHCM-P
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Gender | Female
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 15924 SW 92ND AVE
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1842
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Country | US
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Telephone | 305-964-5824
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Fax |
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Provider Business Mailing Address
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Address Line | 17832 SW 176TH ST
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City | MIAMI
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State | FL
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Zip | 33187-1608
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Country | US
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Telephone | 305-726-5011
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | CBHCM.0107599-P
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License Number State | FL
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