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General NPI Number Information
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NPI Number | 1609105790
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Entity Type | Individual
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Provider Name | CYNTHIA MENDEZ TAMAYO LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10720 CARIBBEAN BLVD
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City | CUTLER BAY
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State | FL
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Zip | 33189-1218
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Country | US
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Telephone | 305-720-4774
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Fax |
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Provider Business Mailing Address
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Address Line | 16502 NW 89TH CT
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City | MIAMI LAKES
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State | FL
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Zip | 33018-6304
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Country | US
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Telephone | 305-720-4774
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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 | MT2669
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License Number State | FL
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