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General NPI Number Information
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NPI Number | 1518464981
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Entity Type | Organization
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Legal Business Name | JAMI YOUNG, LCSW LLC
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 6200 SUNSET DR STE 501
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4830
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Country | US
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Telephone | 306-926-7868
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Fax |
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Provider Business Mailing Address
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Address Line | 7261 SW 133RD TER
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City | PINECREST
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State | FL
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Zip | 33156-6831
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Country | US
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Telephone | 305-926-7868
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMI YOUNG
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Credential | LCSW
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Telephone | 305-926-7868
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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 | 8867
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License Number State | FL
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