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General NPI Number Information
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NPI Number | 1447622808
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Entity Type | Organization
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Legal Business Name | THE LEARNING TREE OF DADE COUNTY, PA INC
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 2636 NE 205TH ST
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City | MIAMI
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State | FL
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Zip | 33180-1115
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Country | US
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Telephone | 305-705-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 2636 NE 205TH ST
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City | MIAMI
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State | FL
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Zip | 33180-1115
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Country | US
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Telephone | 305-705-2211
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NECHAMA SALFER
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Credential | MA
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Telephone | 216-233-0064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PY 9348
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | PY 9348
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | PY 9348
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | W182856
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PY 9348
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | PY 9348
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | PY 9348
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PY 9348
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY 9348
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License Number State | FL
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