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General NPI Number Information
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NPI Number | 1336854520
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Entity Type | Organization
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Legal Business Name | PRADO PSYCHIATRY CARE LLC
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 801 NW 37TH AVE STE 212
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City | MIAMI
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State | FL
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Zip | 33125-3883
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Country | US
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Telephone | 305-504-6131
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Fax | 305-452-0571
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Provider Business Mailing Address
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Address Line | 801 NW 37TH AVE STE 212
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City | MIAMI
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State | FL
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Zip | 33125-3883
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Country | US
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Telephone | 305-504-6131
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Fax | 305-452-0571
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Authorized Official
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Title or Position | CEO
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Name | MAYBEL CONCEPCION
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Credential |
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Telephone | 305-504-6131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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