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General NPI Number Information
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NPI Number | 1700401643
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Entity Type | Organization
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Legal Business Name | LOTUS HEALTH & COUNSELING CENTER LLC
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 8500 SW 92ND ST STE 106B
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City | MIAMI
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State | FL
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Zip | 33156-7379
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Country | US
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Telephone | 305-720-6118
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Fax | 786-401-7881
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Provider Business Mailing Address
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Address Line | 13727 SW 152ND ST STE 931
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City | MIAMI
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State | FL
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Zip | 33177-1106
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Country | US
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Telephone | 786-800-1093
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Fax | 786-401-7881
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Authorized Official
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Title or Position | OWNER
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Name | DANIURYS REGALON
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Credential |
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Telephone | 786-574-0261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 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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