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General NPI Number Information
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NPI Number | 1750247888
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Entity Type | Organization
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Legal Business Name | BEYOND EDEN LLC
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 301 ALMERIA AVE STE 260
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City | CORAL GABLES
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State | FL
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Zip | 33134-5835
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Country | US
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Telephone | 305-859-1548
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Fax |
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Provider Business Mailing Address
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Address Line | 301 ALMERIA AVE STE 260
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City | CORAL GABLES
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State | FL
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Zip | 33134-5835
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Country | US
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Telephone | 305-859-1548
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | ANGELICA MARIA GONZALEZ
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Credential | LMHC
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Telephone | 305-458-0810
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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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