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General NPI Number Information
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NPI Number | 1679710263
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Entity Type | Organization
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Legal Business Name | MIAMI PSYCHCENTER LLC
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Dates
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Enumeration Date | 01/19/2009
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 1390 S DIXIE HWY STE 2219
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City | CORAL GABLES
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State | FL
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Zip | 33146-2927
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Country | US
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Telephone | 305-446-0333
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Fax | 305-461-6699
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Provider Business Mailing Address
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Address Line | 1390 S DIXIE HWY STE 2219
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City | CORAL GABLES
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State | FL
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Zip | 33146-2927
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Country | US
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Telephone | 305-446-0333
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Fax | 305-446-0333
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MARTHA ALVAREZ
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Credential |
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Telephone | 305-446-0333
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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 | MT2510
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License Number State | FL
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