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NPI 1649510868

NPI 1649510868 : PARTNERSHIP CENTER INC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1649510868
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARTNERSHIP CENTER INC 
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Dates
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    Enumeration Date     |    02/25/2013
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    Last Update Date     |    04/29/2014
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Provider Practice Location Address
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    Address Line         |    10214 SW 183RD ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33157-5249
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    Country              |    US
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    Telephone            |    305-252-4631
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    Fax                  |    305-232-6809
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Provider Business Mailing Address
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    Address Line         |    10214 SW 183RD ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33157-5249
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    Country              |    US
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    Telephone            |    305-252-4631
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    Fax                  |    305-232-6809
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     HECTOR R CASTILLO 
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    Credential           |    
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    Telephone            |    305-252-4631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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