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General NPI Number Information
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NPI Number | 1639558182
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Entity Type | Organization
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Legal Business Name | LEIVA ARTZI FAMILY THERAPY LLC
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 05/28/2015
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Provider Practice Location Address
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Address Line | 2627 NE 203RD ST SUITE 214
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City | AVENTURA
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State | FL
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Zip | 33180-1900
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Country | US
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Telephone | 305-215-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 2627 NE 203RD ST SUITE 214
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City | AVENTURA
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State | FL
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Zip | 33180-1900
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Country | US
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Telephone | 305-215-4800
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MRS. MARCELA LEIVA ARZI
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Credential | M.S., LMFT
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Telephone | 305-215-4800
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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 | MT2983
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License Number State | FL
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