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General NPI Number Information
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NPI Number | 1578865648
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Entity Type | Individual
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Provider Name | TENILLE ANISE RICHARDSON-QUAMINA MSW
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Gender | Female
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 3950 BISCAYNE BLVD
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City | MIAMI
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State | FL
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Zip | 33137-3721
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Country | US
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Telephone | 786-417-5878
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Fax |
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Provider Business Mailing Address
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Address Line | 3950 BISCAYNE BLVD
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City | MIAMI
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State | FL
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Zip | 33137-3721
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Country | US
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Telephone | 786-417-5878
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW14118
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW11236
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW11236
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License Number State | FL
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