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General NPI Number Information
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NPI Number | 1376243576
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Entity Type | Organization
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Legal Business Name | ONE MORE LIGHT HEALTH SERVICES CORP
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 7950 NW 53RD ST STE 341
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City | MIAMI
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State | FL
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Zip | 33166-4791
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Country | US
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Telephone | 786-417-9395
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Fax | 305-397-0960
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Provider Business Mailing Address
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Address Line | 7950 NW 53RD ST STE 341
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City | MIAMI
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State | FL
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Zip | 33166-4791
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. TAHNEE DIAZ RODRIGUEZ
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Credential | DNP, APRN, PMHNP-BC
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Telephone | 305-793-4559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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