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General NPI Number Information
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NPI Number | 1407203391
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Entity Type | Organization
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Legal Business Name | MHB CONSULTANTS
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 3001 SW 122ND AVE
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City | MIAMI
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State | FL
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Zip | 33175-2238
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Country | US
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Telephone | 786-278-0643
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 SW 122ND AVE
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City | MIAMI
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State | FL
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Zip | 33175-2238
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Country | US
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Telephone | 786-278-0643
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. AMADA TRO
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Credential |
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Telephone | 305-742-2189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 103K00000X
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License Number State | FL
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