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General NPI Number Information
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NPI Number | 1841846250
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Entity Type | Organization
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Legal Business Name | 5 OPEN MINDS, LLC
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 08/12/2019
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Provider Practice Location Address
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Address Line | 8050 N MIAMI AVE STE 2
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City | MIAMI
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State | FL
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Zip | 33150-3061
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Country | US
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Telephone | 786-405-9975
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 541622
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City | OPA LOCKA
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State | FL
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Zip | 33054-1622
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Country | US
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Telephone | 305-244-9291
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. STANLEY JEAN-FRANCOIS
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Credential |
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Telephone | 305-244-9291
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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 |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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