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General NPI Number Information
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NPI Number | 1326983529
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Entity Type | Individual
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Provider Name | KEREN YUNGER GRUZIN RMFTI
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Gender | Female
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 6100 GRIFFIN RD FL 2
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City | DAVIE
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State | FL
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Zip | 33314-4416
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Country | US
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Telephone | 954-341-5215
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Fax |
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Provider Business Mailing Address
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Address Line | 19195 MYSTIC POINTE DR APT 904
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City | AVENTURA
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State | FL
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Zip | 33180-4505
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Country | US
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Telephone | 786-431-8115
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMT4615
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License Number State | FL
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