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General NPI Number Information
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NPI Number | 1467047597
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Entity Type | Organization
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Legal Business Name | AAA MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 310 NW 54TH ST
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City | MIAMI
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State | FL
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Zip | 33127-1920
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Country | US
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Telephone | 305-992-4008
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Fax |
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Provider Business Mailing Address
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Address Line | 310 NW 54TH ST
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City | MIAMI
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State | FL
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Zip | 33127-1920
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Country | US
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Telephone | 305-992-4008
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANA AZCUY
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Credential |
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Telephone | 786-413-9995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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