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General NPI Number Information
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NPI Number | 1205310778
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Entity Type | Individual
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Provider Name | ALBERTO MORENO BARRETO
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Gender | Male
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 12/14/2018
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Provider Practice Location Address
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Address Line | 1951 NW 17TH AVE
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City | MIAMI
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State | FL
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Zip | 33125-1547
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Country | US
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Telephone | 305-774-9570
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Fax |
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Provider Business Mailing Address
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Address Line | 873 NE 96TH ST
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2521
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Country | US
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Telephone | 305-746-3674
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH16105
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License Number State | FL
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