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General NPI Number Information
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NPI Number | 1326634270
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Entity Type | Organization
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Legal Business Name | PALAZZO MENTAL HEALTH LLC
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Dates
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Enumeration Date | 12/15/2020
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 12540 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33184-1412
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Country | US
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Telephone | 305-772-6119
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Fax |
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Provider Business Mailing Address
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Address Line | 12540 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33184-1412
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Country | US
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Telephone | 305-772-6119
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHAVELIS MORALES
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Credential |
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Telephone | 305-772-6119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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