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General NPI Number Information
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NPI Number | 1316613367
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Entity Type | Organization
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Legal Business Name | POSITIVE HEALTH PSYCHLOGY ASSOCIATES LLC
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 11385 SW 32ND ST
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City | MIAMI
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State | FL
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Zip | 33165-2271
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Country | US
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Telephone | 786-567-8160
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Fax | 954-212-8154
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Provider Business Mailing Address
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Address Line | 11385 SW 32ND ST
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City | MIAMI
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State | FL
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Zip | 33165-2271
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Country | US
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Telephone | 786-567-8160
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Fax | 954-212-8154
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | SANDRA CASTILLO
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Credential | PSYD
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Telephone | 305-342-6667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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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