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General NPI Number Information
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NPI Number | 1275988065
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Entity Type | Organization
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Legal Business Name | HEALING & RECOVERY THERAPEUTIC SERVICES, INC
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 9010 SW 137TH AVE STE 233
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City | MIAMI
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State | FL
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Zip | 33186-1408
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Country | US
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Telephone | 305-775-9143
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Fax |
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Provider Business Mailing Address
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Address Line | 14391 SW 100TH LN
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City | MIAMI
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State | FL
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Zip | 33186-6962
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Country | US
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Telephone | 305-775-9143
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIRIAM RODRIGUEZ
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Credential | LMHC, CAP
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Telephone | 305-775-9143
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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 | MH12369
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License Number State | FL
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