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General NPI Number Information
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NPI Number | 1255751202
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Entity Type | Organization
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Legal Business Name | DR MARITZA LIMA
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 5791B NW 151ST ST
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2490
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Country | US
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Telephone | 305-557-5752
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Fax | 305-556-4929
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Provider Business Mailing Address
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Address Line | 5791B NW 151ST ST
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2490
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Country | US
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Telephone | 305-557-5752
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Fax | 305-556-4929
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. MARITZA LIMA
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Credential | PSYD
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Telephone | 305-557-5752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY8534
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License Number State | FL
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