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General NPI Number Information
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NPI Number | 1457769390
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Entity Type | Individual
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Provider Name | TAYLOR LEMUS L.M.H.C.
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Gender | Female
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 9016 SW 152ND ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1928
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Country | US
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Telephone | 305-238-8500
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Fax | 305-251-4118
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Provider Business Mailing Address
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Address Line | 15100 NW 27TH AVE
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City | OPA LOCKA
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State | FL
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Zip | 33054-2642
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Country | US
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Telephone | 305-238-8500
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Fax | 305-251-4118
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH 12214
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License Number State | FL
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