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General NPI Number Information
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NPI Number | 1437650355
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Entity Type | Individual
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Provider Name | AURORA PENATE LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 06/08/2024
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Provider Practice Location Address
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Address Line | 3100 SW 62ND AVE
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City | MIAMI
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State | FL
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Zip | 33155-3009
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Country | US
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Telephone | 305-669-6503
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 S DOUGLAS RD STE 301
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City | CORAL GABLES
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State | FL
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Zip | 33134-6104
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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 |
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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 | MH19661
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License Number State | FL
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