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General NPI Number Information
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NPI Number | 1841881604
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Entity Type | Individual
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Provider Name | JUZMIN MOLINA LMHC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 1203 71ST ST
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3647
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Country | US
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Telephone | 786-383-4188
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 71ST ST
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3647
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Country | US
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Telephone | 786-383-4188
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MT3692
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH17203
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License Number State | FL
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