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General NPI Number Information
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NPI Number | 1477989507
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Entity Type | Individual
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Provider Name | ANGEL LOPEZ LMHC, NCC, MCAP, QS
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Gender | Male
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 14802 SW 183RD TER
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City | MIAMI
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State | FL
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Zip | 33187-1929
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Country | US
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Telephone | 786-319-7035
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Fax |
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Provider Business Mailing Address
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Address Line | 8249 SW 149TH CT APT 204
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City | MIAMI
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State | FL
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Zip | 33193-3103
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Country | US
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Telephone | 786-319-7035
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Fax |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH13694
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License Number State | FL
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