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General NPI Number Information
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NPI Number | 1326592254
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Entity Type | Organization
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Legal Business Name | THE MIAMI CENTER FOR THE FAMILY, LLC
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Dates
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Enumeration Date | 08/09/2016
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 12873 SW 207TH TER
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City | MIAMI
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State | FL
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Zip | 33177-5515
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Country | US
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Telephone | 786-273-7395
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Fax |
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Provider Business Mailing Address
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Address Line | 299 ALHAMBRA CIR SUITE 418A
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City | CORAL GABLES
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State | FL
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Zip | 33134-5106
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Country | US
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Telephone | 786-273-7395
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Fax | 844-258-5606
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. KENNY PEREZ
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Credential | M.D.
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Telephone | 786-273-7395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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