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General NPI Number Information
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NPI Number | 1245152487
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Entity Type | Organization
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Legal Business Name | ONE BLUE OCEAN GROUP LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 1280 SW 1ST ST STE 4
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City | MIAMI
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State | FL
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Zip | 33135-2450
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Country | US
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Telephone | 305-781-4679
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 SW 1ST ST STE 4
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City | MIAMI
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State | FL
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Zip | 33135-2450
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Country | US
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Telephone | 305-781-4679
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Fax |
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Authorized Official
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Title or Position | PRESIDENT (MANAGING MEMBER)
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Name | LISETT MARRERO
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Credential | MARRERO
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Telephone | 305-781-4679
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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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