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General NPI Number Information
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NPI Number | 1326850173
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Entity Type | Individual
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Provider Name | ROSA MARIA LEAL GARCIA CBHCM, CBHCMS, CBHT
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Gender | Female
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 15274 SW 168TH TER
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City | MIAMI
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State | FL
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Zip | 33187-6705
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Country | US
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Telephone | 239-601-0480
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Fax |
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Provider Business Mailing Address
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Address Line | 15274 SW 168TH TER
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City | MIAMI
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State | FL
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Zip | 33187-6705
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Country | US
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Telephone | 239-601-0480
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CBHCMS.0102746
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CBHCM.0104742
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License Number State | FL
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