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General NPI Number Information
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NPI Number | 1811535321
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Entity Type | Individual
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Provider Name | KIARA IVETTE NIEVES
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Gender | Female
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Dates
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Enumeration Date | 12/16/2019
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 352 ENGLENOOK DR
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City | DEBARY
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State | FL
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Zip | 32713-1803
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Country | US
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Telephone | 407-732-7266
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Fax |
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Provider Business Mailing Address
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Address Line | 2167 SWANSON DR
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City | DELTONA
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State | FL
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Zip | 32738-6601
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Country | US
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Telephone | 407-376-2926
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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 |
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License Number State | FL
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