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General NPI Number Information
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NPI Number | 1194603944
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Entity Type | Organization
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Legal Business Name | DE LA PAZ PSYCHIATRIC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 6801 NW 77TH AVE # W403
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City | MIAMI
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State | FL
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Zip | 33166-2851
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Country | US
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Telephone | 786-402-4972
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Fax | 949-864-3585
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Provider Business Mailing Address
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Address Line | 3645 NW 36TH ST APT 412
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City | MIAMI
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State | FL
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Zip | 33142-4974
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Country | US
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Telephone | 786-222-5041
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Fax | 949-864-3585
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | ADRIEL DE LA PAZ
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Credential | PMHNP
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Telephone | 786-222-5041
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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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