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General NPI Number Information
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NPI Number | 1487619037
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Entity Type | Organization
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Legal Business Name | INFINITE PERSONAL POSSIBILITIES, INC.
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17501 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33160-4809
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Country | US
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Telephone | 305-573-6333
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Fax | 305-573-6888
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Provider Business Mailing Address
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Address Line | 17501 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33160-4809
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Country | US
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Telephone | 305-573-6333
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Fax | 305-573-6888
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MR. MARIO B COSTA
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Credential |
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Telephone | 305-573-6333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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