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General NPI Number Information
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NPI Number | 1619291077
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Entity Type | Organization
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Legal Business Name | 4U COUNSELING SERVICES INC
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 03/15/2010
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Provider Practice Location Address
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Address Line | 2260 SW 8TH ST STE 304
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City | MIAMI
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State | FL
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Zip | 33135-4924
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Country | US
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Telephone | 305-817-5444
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Fax | 305-817-5409
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Provider Business Mailing Address
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Address Line | 2260 SW 8TH ST STE 304
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City | MIAMI
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State | FL
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Zip | 33135-4924
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Country | US
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Telephone | 305-817-5444
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Fax | 305-817-5409
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAIME S TALLON
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Credential |
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Telephone | 305-817-5444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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