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General NPI Number Information
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NPI Number | 1588021679
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Entity Type | Organization
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Legal Business Name | FAMILY SOLUTIONS CENTER, LLC
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 1031 IVES DAIRY RD STE 228 OFFICE 214
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-2538
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Country | US
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Telephone | 786-306-5534
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 IVES DAIRY RD STE 240
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-2521
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Country | US
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Telephone | 786-306-5534
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Fax |
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR
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Name | EDUARDO LEAL
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Credential | LMFT
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Telephone | 786-306-5534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MT2528
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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