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General NPI Number Information
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NPI Number | 1306255427
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Entity Type | Organization
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Legal Business Name | ELEMENTAL BEHAVIORAL INC.
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 11/30/2025
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Provider Practice Location Address
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Address Line | 10250 SW 56TH ST STE A102
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City | MIAMI
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State | FL
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Zip | 33165-7064
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Country | US
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Telephone | 786-477-4431
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Fax | 786-477-4377
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Provider Business Mailing Address
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Address Line | 10250 SW 56TH ST STE A102
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City | MIAMI
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State | FL
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Zip | 33165-7064
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Country | US
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Telephone | 786-477-4431
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Fax | 786-477-4377
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Authorized Official
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Title or Position | OWNER
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Name | DR. MANUEL AUGUSTO MELENDEZ
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Credential | MD
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Telephone | 305-926-9124
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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