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General NPI Number Information
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NPI Number | 1578144499
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Entity Type | Individual
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Provider Name | WAYNE ALBERTIE MSW
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Gender | Male
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 13227 NW 7TH AVE
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City | NORTH MIAMI
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State | FL
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Zip | 33168-2803
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Country | US
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Telephone | 786-703-9866
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Fax | 786-300-3579
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Provider Business Mailing Address
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Address Line | 4911 NW 12TH ST
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City | LAUDERHILL
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State | FL
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Zip | 33313-6523
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Country | US
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Telephone | 786-299-3221
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Fax | 786-300-3579
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW10961
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License Number State | FL
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