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General NPI Number Information
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NPI Number | 1225479694
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Entity Type | Organization
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Legal Business Name | D & D PSYCH, INC.
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 07/12/2013
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Provider Practice Location Address
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Address Line | 7392 NW 35TH TER
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City | MIAMI
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State | FL
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Zip | 33122-1271
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Country | US
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Telephone | 305-597-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 7392 NW 35TH TER
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City | MIAMI
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State | FL
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Zip | 33122-1271
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Country | US
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Telephone | 305-597-9494
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARISELA ARREAZA
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Credential |
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Telephone | 305-597-9494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | IMT313
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License Number State | FL
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