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General NPI Number Information
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NPI Number | 1356077549
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Entity Type | Individual
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Provider Name | MARGARITA ELOISA AVILES MSW
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Gender | Female
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 2601 E OAKLAND PARK BLVD STE 205
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1658
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Country | US
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Telephone | 954-228-0520
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Fax |
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Provider Business Mailing Address
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Address Line | 207 SW 18TH AVE APT 2
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City | MIAMI
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State | FL
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Zip | 33135-2035
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Country | US
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Telephone | 305-846-0791
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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