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General NPI Number Information
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NPI Number | 1548082266
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Entity Type | Individual
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Provider Name | ADRIAN CARRAZANA RMHI
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Gender | Male
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Dates
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Enumeration Date | 10/25/2024
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 2955 PINEDA PLAZA WAY STE 209
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City | MELBOURNE
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State | FL
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Zip | 32940-7307
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Country | US
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Telephone | 321-610-4602
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 SW 122ND AVE APT 119
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City | MIAMI
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State | FL
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Zip | 33184-2825
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Country | US
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Telephone | 786-291-0514
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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 | IMH26830
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License Number State | FL
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