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General NPI Number Information
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NPI Number | 1255948949
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Entity Type | Organization
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Legal Business Name | OPTIMUM MENTAL HEALTH SOLUTIONS INC
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Dates
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Enumeration Date | 09/26/2020
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 11272 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33186-4203
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Country | US
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Telephone | 786-344-3562
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Fax | 786-678-6227
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Provider Business Mailing Address
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Address Line | 11272 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33186-4203
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Country | US
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Telephone | 786-424-1584
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Fax | 786-478-6227
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANDRA RUA
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Credential | AUTONOMOUS APRN
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Telephone | 786-344-3562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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