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General NPI Number Information
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NPI Number | 1659206555
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Entity Type | Organization
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Legal Business Name | DANIELA DE MEDEIROS, PSY.D., PLLC
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 111 MAJORCA AVE
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City | CORAL GABLES
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State | FL
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Zip | 33134-4508
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Country | US
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Telephone | 305-403-9336
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Fax | 305-448-0687
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Provider Business Mailing Address
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Address Line | 111 MAJORCA AVE
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City | CORAL GABLES
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State | FL
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Zip | 33134-4508
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Country | US
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Telephone | 305-403-9336
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Fax | 305-448-0687
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. DANIELA OLIVEIRA DE MEDEIROS
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Credential | PSY.D, MS.ED.
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Telephone | 305-403-9336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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