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General NPI Number Information
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NPI Number | 1629301320
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Entity Type | Organization
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Legal Business Name | T PAULA, INC
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Dates
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Enumeration Date | 09/12/2009
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Last Update Date | 09/12/2009
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Provider Practice Location Address
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Address Line | 216 CATALONIA AVE SUITE 102
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City | CORAL GABLES
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State | FL
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Zip | 33134-6737
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Country | US
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Telephone | 786-367-0196
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Fax | 305-567-9338
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Provider Business Mailing Address
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Address Line | 216 CATALONIA AVE SUITE 102
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City | CORAL GABLES
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State | FL
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Zip | 33134-6737
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Country | US
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Telephone | 786-367-0196
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Fax | 305-567-9338
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAMARA PAULA
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Credential | LMHC
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Telephone | 786-367-0196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH7816
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License Number State | FL
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