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General NPI Number Information
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NPI Number | 1538588488
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Entity Type | Organization
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Legal Business Name | DR. NETA PELEG-ORENLLC
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 04/08/2014
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Provider Practice Location Address
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Address Line | 2627 NE 203RD ST STE 113
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City | AVENTURA
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State | FL
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Zip | 33180-1945
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Country | US
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Telephone | 786-877-0919
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Fax |
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Provider Business Mailing Address
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Address Line | 3005 NE 207TH TER
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City | AVENTURA
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State | FL
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Zip | 33180-3621
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Country | US
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Telephone | 786-877-0919
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. NETA PELEG-OREN
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Credential | PH.D, LCSW
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Telephone | 786-877-0919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | SW10238
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License Number State | FL
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