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General NPI Number Information
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NPI Number | 1184595662
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Entity Type | Organization
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Legal Business Name | PENTIMENTO GROUP
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 9406 NE 9TH AVE FL 33138
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2923
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Country | US
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Telephone | 305-205-2321
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Fax |
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Provider Business Mailing Address
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Address Line | 9406 NE 9TH AVE FL 33138
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2923
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SALLY DUERR RODRIGUEZ
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Credential |
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Telephone | 305-205-2321
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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 |
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License Number State |
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