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General NPI Number Information
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NPI Number | 1427055417
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Entity Type | Organization
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Legal Business Name | DADE FAMILY COUNSELING COMMUNITY MENTAL HEALTH CENTER, INC
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 9350 SUNSET DR STE 151
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City | MIAMI
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State | FL
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Zip | 33173-3286
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Country | US
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Telephone | 786-548-1022
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Fax | 786-542-5326
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Provider Business Mailing Address
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Address Line | 9350 SUNSET DR STE 151
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City | MIAMI
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State | FL
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Zip | 33173-3286
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Country | US
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Telephone | 786-548-1022
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Fax | 305-774-9573
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Authorized Official
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Title or Position | PRESIDENT
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Name | EVA SANCHEZ DE LA PORTILLA
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Credential |
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Telephone | 786-548-1022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 101454
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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