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General NPI Number Information
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NPI Number | 1730074659
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Entity Type | Organization
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Legal Business Name | SUN AND MOON MENTAL HEALTH LLC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 16985 SW 93RD ST APT 3-106
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City | MIAMI
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State | FL
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Zip | 33196-1078
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Country | US
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Telephone | 786-859-0837
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Fax | 786-859-0837
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Provider Business Mailing Address
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Address Line | 16985 SW 93RD ST APT 3-106
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City | MIAMI
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State | FL
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Zip | 33196-1078
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Country | US
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Telephone | 786-859-0837
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Fax | 786-859-0837
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Authorized Official
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Title or Position | CEO
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Name | SHAKIRS MACEDA
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Credential |
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Telephone | 786-859-0837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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