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General NPI Number Information
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NPI Number | 1194335703
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Entity Type | Organization
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Legal Business Name | HEALTHY FUTURES WELLNESS CENTER INC
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 12060 SW 129TH CT STE 103
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City | MIAMI
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State | FL
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Zip | 33186-4582
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Country | US
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Telephone | 786-592-2439
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Fax | 786-429-3683
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Provider Business Mailing Address
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Address Line | 12060 SW 129TH CT STE 103
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City | MIAMI
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State | FL
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Zip | 33186-4582
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Country | US
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Telephone | 786-592-2439
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Fax | 786-429-3683
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Authorized Official
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Title or Position | OWNER
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Name | NOEL CAMACHO
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Credential |
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Telephone | 786-592-2439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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