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General NPI Number Information
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NPI Number | 1629220850
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Entity Type | Individual
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Provider Name | HAYDEE FUENTES LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 7950 NW 155TH ST SUITE #103
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5819
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Country | US
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Telephone | 305-778-7696
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Fax | 305-827-8787
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Provider Business Mailing Address
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Address Line | 20000 NW 47TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-1543
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Country | US
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Telephone | 305-778-7696
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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 | MH8085
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License Number State | FL
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