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General NPI Number Information
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NPI Number | 1336204783
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Entity Type | Organization
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Legal Business Name | ANXIETY & STRESS MANAGEMENT CENTER
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 8525 SW 92 STREET STE A3
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City | MIAMI
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State | FL
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Zip | 33156-7374
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Country | US
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Telephone | 305-279-1715
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Fax | 305-279-8080
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Provider Business Mailing Address
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Address Line | 9135 S.W. 125 AVE STE #P203
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City | MIAMI
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State | FL
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Zip | 33186
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Country | US
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Telephone | 305-279-1715
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Fax | 305-279-1715
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. ARLENE O MILLER
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Credential | LCSW
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Telephone | 305-279-1715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | SW1381
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License Number State | FL
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