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General NPI Number Information
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NPI Number | 1801989397
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Entity Type | Individual
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Provider Name | GELIANI R. LOPEZ LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5753 MIAMI LAKES DR. EAST
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City | MIAMI LAKES
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State | FL
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Zip | 33015
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Country | US
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Telephone | 305-403-0006
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Fax |
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Provider Business Mailing Address
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Address Line | 330 SW 51 COURT
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City | MIAMI
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State | FL
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Zip | 33134
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Country | US
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Telephone | 786-262-0346
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 6878
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License Number State | FL
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