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General NPI Number Information
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NPI Number | 1417456153
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Entity Type | Individual
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Provider Name | ANA CRISTINA GOUVEA MHC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 10570 NW 27TH ST STE 102
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City | DORAL
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State | FL
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Zip | 33172-2105
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Country | US
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Telephone | 305-629-8276
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Fax |
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Provider Business Mailing Address
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Address Line | 7910 HARBOR ISLAND DR APT 803
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City | NORTH BAY VILLAGE
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State | FL
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Zip | 33141-3388
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Country | US
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Telephone | 305-877-9940
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH16180
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License Number State | FL
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