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General NPI Number Information
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NPI Number | 1780399972
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Entity Type | Organization
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Legal Business Name | TERRENCE VACCARO PHD LICENSED PSYCHOLOGY
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 7700 N KENDALL DR STE 415
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City | MIAMI
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State | FL
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Zip | 33156-7565
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Country | US
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Telephone | 786-256-2251
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 N KENDALL DR STE 415
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City | MIAMI
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State | FL
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Zip | 33156-7565
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Country | US
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Telephone | 786-256-2251
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERRENCE VACCARO
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Credential |
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Telephone | 786-251-6022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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