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General NPI Number Information
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NPI Number | 1346029238
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Entity Type | Individual
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Provider Name | JULIANA YADIRA LESCAILLE
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Gender | Female
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 937 SW 87TH AVE
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City | MIAMI
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State | FL
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Zip | 33174-3206
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Country | US
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Telephone | 305-570-5748
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Fax |
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Provider Business Mailing Address
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Address Line | 937 SW 87TH AVE
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City | MIAMI
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State | FL
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Zip | 33174-3206
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Country | US
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Telephone | 305-570-5748
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | CBHCMS.0102651
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | CBHCMS.0102651
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License Number State | FL
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