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General NPI Number Information
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NPI Number | 1275146490
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Entity Type | Individual
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Provider Name | JOSIAS BESERRA DA SILVA M.ED
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Gender | Male
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Dates
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Enumeration Date | 08/27/2020
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1639 FORUM PL STE 7
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2330
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Country | US
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Telephone | 561-712-8821
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Fax |
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Provider Business Mailing Address
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Address Line | 5230 NW 53RD AVE
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3751
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Country | US
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Telephone | 953-643-0761
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | IMH19796
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License Number State | FL
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