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NPI 1821230731

NPI 1821230731 : JOSE R ROJO L.M.H.C : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1821230731
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    Entity Type          |    Individual 
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    Provider Name        |    JOSE R ROJO L.M.H.C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/24/2009
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    Last Update Date     |    03/24/2009
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Provider Practice Location Address
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    Address Line         |    225 NE 34TH ST SUITE 211
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33137-3800
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    Country              |    US
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    Telephone            |    305-572-0066
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    Fax                  |    866-621-0340
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Provider Business Mailing Address
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    Address Line         |    180 NE 150TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33161-2028
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    Country              |    US
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    Telephone            |    305-949-1307
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    Fax                  |    866-621-0340
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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       |    9448
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    License Number State |    FL
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