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General NPI Number Information
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NPI Number | 1407337199
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Entity Type | Organization
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Legal Business Name | EMPHOUR, INC
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 07/27/2019
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Provider Practice Location Address
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Address Line | 13595 SW 134TH AVE STE 101
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City | MIAMI
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State | FL
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Zip | 33186-4579
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Country | US
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Telephone | 786-592-2323
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Fax | 305-713-1207
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Provider Business Mailing Address
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Address Line | 888 BRICKELL KEY DR APT 406
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City | MIAMI
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State | FL
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Zip | 33131-2604
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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 | JULIO PEREZ-DELGADO
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Credential |
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Telephone | 786-592-2323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-18-31058
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH-12050
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License Number State | FL
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