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General NPI Number Information
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NPI Number | 1619346657
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Entity Type | Individual
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Provider Name | TARA PASSARETTI N.C.C.,LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/21/2015
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 20801 BISCAYNE BLVD SUITE 403
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City | AVENTURA
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State | FL
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Zip | 33180-1430
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Country | US
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Telephone | 786-671-2811
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Fax |
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Provider Business Mailing Address
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Address Line | 17890 NE 31ST CT APT. 3319
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City | AVENTURA
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State | FL
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Zip | 33160-5019
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Country | US
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Telephone | 954-540-4130
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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 | MH 14552
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License Number State | FL
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