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General NPI Number Information
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NPI Number | 1508117706
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Entity Type | Individual
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Provider Name | MARTHA L VALLEJO LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 09/27/2012
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Provider Practice Location Address
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Address Line | 1550 MADRUGA AVE STE 307
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City | CORAL GABLES
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State | FL
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Zip | 33146-3066
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Country | US
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Telephone | 786-399-6764
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 NE 135TH ST APT 3J
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City | NORTH MIAMI
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State | FL
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Zip | 33181-3572
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Country | US
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Telephone | 786-399-6764
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW10783
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License Number State | FL
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