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General NPI Number Information
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NPI Number | 1740787654
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Entity Type | Organization
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Legal Business Name | GROWING WISER PLLC
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Dates
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Enumeration Date | 04/07/2018
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Last Update Date | 04/07/2018
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Provider Practice Location Address
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Address Line | 19300 W DIXIE HWY UNIT 2
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City | AVENTURA
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State | FL
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Zip | 33180-2201
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Country | US
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Telephone | 917-817-7266
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 COLLINS AVE APT 1603
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2341
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Country | US
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Telephone | 917-817-7266
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIRIAM MOUSSATCHE-WECHSLER
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Credential |
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Telephone | 917-817-7266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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