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General NPI Number Information
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NPI Number | 1841942232
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Entity Type | Individual
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Provider Name | LEONARDO L INSIGNARES
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Gender | Male
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 160 NW 176TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-5021
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Country | US
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Telephone | 305-816-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 1988 NE 178TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2208
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Country | US
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Telephone | 561-856-4781
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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 | 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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