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General NPI Number Information
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NPI Number | 1689901308
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Entity Type | Individual
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Provider Name | ANNIE MECIAS PH.D
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Gender | Female
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 8900 SW 168TH ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-4569
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Country | US
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Telephone | 754-204-6449
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Fax |
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Provider Business Mailing Address
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Address Line | 5620 SW 185TH WAY
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City | SW RANCHES
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State | FL
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Zip | 33332-1401
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Country | US
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Telephone | 754-204-6449
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MFT2424
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License Number State | FL
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