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General NPI Number Information
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NPI Number | 1437049095
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Entity Type | Organization
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Legal Business Name | CASA SOLACE PSYCHOLOGY LLC
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 6155 NW 186TH ST APT 207
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City | HIALEAH
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State | FL
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Zip | 33015-6080
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Country | US
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Telephone | 786-457-0616
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Fax |
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Provider Business Mailing Address
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Address Line | 6155 NW 186TH ST APT 207
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City | HIALEAH
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State | FL
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Zip | 33015-6080
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Country | US
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Telephone | 786-457-0616
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Fax |
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Authorized Official
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Title or Position | OWNER, PSYCHOLOGIST
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Name | DR. ANA ELISA ZUNIGA
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Credential | PSY.D.
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Telephone | 786-457-0616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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