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General NPI Number Information
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NPI Number | 1720975923
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL COACHING ADVOCATES LLC
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 6014 SW 160TH AVE
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City | MIAMI
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State | FL
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Zip | 33193-5809
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Country | US
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Telephone | 786-397-9758
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Fax | 786-397-9758
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Provider Business Mailing Address
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Address Line | 6014 SW 160TH AVE
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City | MIAMI
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State | FL
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Zip | 33193-5809
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Country | US
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Telephone | 786-397-9758
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Fax | 305-397-1797
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE CARBONELL
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Credential |
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Telephone | 786-397-9758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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