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General NPI Number Information
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NPI Number | 1568238020
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Entity Type | Individual
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Provider Name | LUIS VILLAMIL LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 17000 NW 67TH AVE APT 236
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City | MIAMI GARDENS
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State | FL
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Zip | 33015-4061
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Country | US
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Telephone | 786-286-5355
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Fax |
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Provider Business Mailing Address
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Address Line | 21132 SW 91ST CT
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City | CUTLER BAY
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State | FL
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Zip | 33189-3896
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Country | US
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Telephone | 786-286-5355
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT3303
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License Number State | FL
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