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General NPI Number Information
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NPI Number | 1447598743
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Entity Type | Organization
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Legal Business Name | QUEST FOR INNER PEACE
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Dates
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Enumeration Date | 01/21/2013
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Last Update Date | 01/21/2013
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Provider Practice Location Address
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Address Line | 9350 SW 72ND ST BLDG 100 SUITE 100
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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 | 305-510-4877
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Fax |
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Provider Business Mailing Address
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Address Line | 13535 SW 64TH TER
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City | MIAMI
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State | FL
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Zip | 33183-5012
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Country | US
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Telephone | 305-510-4877
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. CAMILO ERIC TORRES
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Credential | PSY.D
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Telephone | 305-510-4877
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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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