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General NPI Number Information
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NPI Number | 1396501029
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Entity Type | Organization
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Legal Business Name | VM BEHAVIOR GROUP LLC
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Dates
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Enumeration Date | 02/21/2024
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 2150 W 76TH ST STE 118
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City | HIALEAH
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State | FL
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Zip | 33016-1887
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Country | US
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Telephone | 786-636-6952
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Fax | 786-391-2357
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Provider Business Mailing Address
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Address Line | 2150 W 76TH ST STE 118
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City | HIALEAH
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State | FL
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Zip | 33016-1887
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Country | US
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Telephone | 786-636-6952
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Fax | 786-391-2357
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Authorized Official
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Title or Position | OWNER
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Name | MARIBEL GARCIA GARCIA
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Credential | CBHCMS.0102683
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Telephone | 980-900-7876
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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