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General NPI Number Information
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NPI Number | 1598584096
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Entity Type | Individual
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Provider Name | NEYMALIS RODRIGUEZ LACOMBA
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Gender | Female
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 9050 PINES BLVD STE 305
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6422
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Country | US
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Telephone | 754-704-6867
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Fax |
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Provider Business Mailing Address
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Address Line | 4822 NW 48TH TER
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City | TAMARAC
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State | FL
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Zip | 33319-3627
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Country | US
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Telephone | 787-486-1915
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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 | IMH26378
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License Number State | FL
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