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General NPI Number Information
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NPI Number | 1831064641
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Entity Type | Organization
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Legal Business Name | MONTE NIDO ARISE HEALTH MEDICAL, PA
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 6100 SW 76TH ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5002
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Country | US
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Telephone | 855-932-7473
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 SW 76TH ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5002
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CONTRACT ADMINISTRATOR
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Name | ALICIA DARVILLE
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Credential |
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Telephone | 855-932-7473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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