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General NPI Number Information
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NPI Number | 1316282817
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Entity Type | Individual
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Provider Name | MARIA XIMENA DUARTE PSYD, LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/10/2012
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 5901 NW 183RD ST STE 310
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City | HIALEAH
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State | FL
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Zip | 33015-6008
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Country | US
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Telephone | 786-418-9790
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Fax |
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Provider Business Mailing Address
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Address Line | 490 NE 141ST ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-3127
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Country | US
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Telephone | 305-878-4842
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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 | MH16649
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY11259
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License Number State | FL
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