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General NPI Number Information
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NPI Number | 1346714045
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Entity Type | Individual
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Provider Name | ELIZABETH JARQUIN
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Gender | Female
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 4601 PONCE DE LEON BLVD STE 260
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City | CORAL GABLES
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State | FL
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Zip | 33146-2110
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Country | US
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Telephone | 305-846-9370
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 CARDINAL LN
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City | ENGLEWOOD
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State | FL
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Zip | 34224-5050
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Country | US
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Telephone | 305-814-2684
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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 | MT3577
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License Number State | FL
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