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General NPI Number Information
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NPI Number | 1316191562
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Entity Type | Individual
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Provider Name | CAROL J MORETTI LMHC
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Gender | Female
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 2627 NE 203RD ST SUITE 214
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City | AVENTURA
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State | FL
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Zip | 33180-1900
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Country | US
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Telephone | 305-915-7873
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Fax |
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Provider Business Mailing Address
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Address Line | 2430 NE 214TH ST
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City | MIAMI
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State | FL
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Zip | 33180-1050
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Country | US
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Telephone | 305-915-7873
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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 | MH9587
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License Number State | FL
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