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General NPI Number Information
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NPI Number | 1366556318
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Entity Type | Organization
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Legal Business Name | LAURA M ARTILES PHD PA
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10300 SW 72ND ST SUITE 153
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City | MIAMI
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State | FL
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Zip | 33173-3012
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Country | US
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Telephone | 305-270-3737
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Fax | 305-270-3737
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Provider Business Mailing Address
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Address Line | 10300 SW 72ND ST SUITE 153
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City | MIAMI
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State | FL
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Zip | 33173-3012
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Country | US
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Telephone | 305-270-3737
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Fax | 305-270-3737
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAURA MARGARITA ARTILES
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Credential | PHD
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Telephone | 305-270-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY5426
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License Number State | FL
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