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General NPI Number Information
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NPI Number | 1437402492
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Entity Type | Organization
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Legal Business Name | ALONSO PSYCHOLOGICAL SERVICES CORP.
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 3191 CORAL WAY SUITE 604
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City | CORAL GABLES
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State | FL
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Zip | 33145-3213
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Country | US
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Telephone | 786-709-8556
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Fax | 866-347-1622
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Provider Business Mailing Address
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Address Line | 3191 CORAL WAY SUITE 604
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City | CORAL GABLES
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State | FL
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Zip | 33145-3213
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Country | US
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Telephone | 786-709-8556
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Fax | 866-347-1622
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Authorized Official
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Title or Position | CEO
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Name | DR. MARIA ALONSO
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Credential | LCSW
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Telephone | 786-709-8556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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