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General NPI Number Information
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NPI Number | 1649733544
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Entity Type | Organization
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Legal Business Name | COMMUNITY BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 8323 NW 12TH ST STE 108
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City | DORAL
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State | FL
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Zip | 33126-1839
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Country | US
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Telephone | 305-400-8511
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Fax | 305-392-0184
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Provider Business Mailing Address
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Address Line | 8323 NW 12TH ST STE 108
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City | DORAL
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State | FL
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Zip | 33126-1839
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Country | US
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Telephone | 305-400-8511
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Fax | 305-392-0184
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MIGUEL A DIAZ
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Credential | APRN, PMHNP-BC
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Telephone | 305-459-3207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #7
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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 #8
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #11
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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 |
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