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General NPI Number Information
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NPI Number | 1477208155
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Entity Type | Organization
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Legal Business Name | KATHARSIS COMMUNITY MENTAL HEALTH LLC
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 13055 SW 42ND ST STE 205
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City | MIAMI
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State | FL
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Zip | 33175-3410
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Country | US
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Telephone | 786-828-7098
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Fax | 786-361-3027
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Provider Business Mailing Address
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Address Line | 13055 SW 42ND ST STE 205
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City | MIAMI
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State | FL
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Zip | 33175-3410
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Country | US
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Telephone | 786-828-7098
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Fax | 786-361-3027
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Authorized Official
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Title or Position | P
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Name | ERASMO M GUERRERO FERNANDEZ
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Credential |
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Telephone | 786-970-5033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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