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General NPI Number Information
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NPI Number | 1497485262
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Entity Type | Organization
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Legal Business Name | BLUE SKY MENTAL HEALTH CORP
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 2100 W 76TH ST STE 406
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City | HIALEAH
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State | FL
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Zip | 33016-5504
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Country | US
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Telephone | 305-530-8120
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Fax | 786-933-9801
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Provider Business Mailing Address
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Address Line | 2100 W 76TH ST STE 406
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City | HIALEAH
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State | FL
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Zip | 33016-5504
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Country | US
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Telephone | 305-530-8120
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Fax | 786-933-9801
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Authorized Official
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Title or Position | OWNER
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Name | KAREN MESA
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Credential |
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Telephone | 786-690-1884
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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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