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General NPI Number Information
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NPI Number | 1528175486
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Entity Type | Individual
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Provider Name | RAMON D MESA PSY.D. LMHC
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5753 MIAMI LAKES DR E
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2417
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Country | US
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Telephone | 305-403-0006
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Fax | 305-403-0007
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Provider Business Mailing Address
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Address Line | 9620 SW 20TH TER
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City | MIAMI
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State | FL
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Zip | 33165-8017
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Country | US
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Telephone | 305-552-7008
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH5301
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License Number State | FL
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