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General NPI Number Information
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NPI Number | 1841658846
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Entity Type | Organization
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Legal Business Name | DADE FAMILY COUNSELING
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 4343 W FLAGLER ST SUITE 100
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City | CORAL GABLES
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State | FL
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Zip | 33134-1586
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Country | US
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Telephone | 305-487-8140
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Fax | 305-487-8139
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Provider Business Mailing Address
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Address Line | 4343 W FLAGLER ST SUITE 100
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City | CORAL GABLES
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State | FL
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Zip | 33134-1586
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Country | US
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Telephone | 305-487-8140
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Fax | 305-487-8139
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Authorized Official
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Title or Position | SUPERVISOR
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Name | JOSE LECHEVALLIER
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Credential |
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Telephone | 305-487-8140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | MH4091
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License Number State | FL
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