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General NPI Number Information
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NPI Number | 1639788755
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Entity Type | Organization
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Legal Business Name | CAZARES PROFESSIONAL THERAPY LLC
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Dates
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Enumeration Date | 07/24/2020
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 1000 W MCNAB RD STE 275
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City | POMPANO BEACH
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State | FL
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Zip | 33069-4719
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Country | US
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Telephone | 305-496-7753
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 W MCNAB RD STE 275
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City | POMPANO BEACH
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State | FL
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Zip | 33069-4719
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Country | US
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Telephone | 305-496-7753
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | SARAJANE CAZARES
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Credential | LICSW, LCSW
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Telephone | 305-496-7753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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