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General NPI Number Information
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NPI Number | 1336713007
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Entity Type | Individual
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Provider Name | SHIRLEY MONTES CBHCM
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Gender | Female
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 05/18/2021
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Provider Practice Location Address
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Address Line | 14100 PALMETTO FRNTG RD STE 108
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1568
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Country | US
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Telephone | 786-463-2699
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Fax |
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Provider Business Mailing Address
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Address Line | 7010 NW 186TH ST APT 321
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City | HIALEAH
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State | FL
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Zip | 33015-3198
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Country | US
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Telephone | 956-617-1329
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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 | 101763
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License Number State | FL
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