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General NPI Number Information
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NPI Number | 1750946810
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Entity Type | Organization
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Legal Business Name | LET'S TALK WELLNESS NETWORK, LLC
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Dates
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Enumeration Date | 05/04/2019
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Last Update Date | 04/15/2022
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Provider Practice Location Address
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Address Line | 13028 SW 120TH ST # 9
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City | MIAMI
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State | FL
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Zip | 33186-4522
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Country | US
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Telephone | 305-490-7178
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Fax |
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Provider Business Mailing Address
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Address Line | 7969 NW 2ND ST STE 323
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City | MIAMI
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State | FL
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Zip | 33126-8018
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Country | US
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Telephone | 305-490-7178
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAMARY LEON
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Credential | LMHC
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Telephone | 305-490-7178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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