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General NPI Number Information
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NPI Number | 1710344130
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Entity Type | Organization
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Legal Business Name | ABA SOLUTIONS CENTER, LLC
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Dates
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Enumeration Date | 01/16/2016
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Last Update Date | 01/16/2016
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Provider Practice Location Address
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Address Line | 8990 NW 148TH TER
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City | MIAMI LAKES
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State | FL
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Zip | 33018-7318
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Country | US
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Telephone | 305-318-9443
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Fax |
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Provider Business Mailing Address
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Address Line | 8990 NW 148TH TER
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City | MIAMI LAKES
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State | FL
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Zip | 33018-7318
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Country | US
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Telephone | 305-318-9443
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Fax |
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR
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Name | MR. EDUARDO LEAL
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Credential | LMFT
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Telephone | 786-306-5534
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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 | MT2528
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License Number State | FL
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