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General NPI Number Information
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NPI Number | 1851539100
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Entity Type | Individual
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Provider Name | ROBERT J HAFNER MHC
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Gender | Male
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Dates
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Enumeration Date | 01/24/2009
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Last Update Date | 01/24/2009
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Provider Practice Location Address
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Address Line | 11060 N KENDALL DR STE 7
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City | MIAMI
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State | FL
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Zip | 33176-1272
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Country | US
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Telephone | 786-236-7927
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Fax | 305-257-0040
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Provider Business Mailing Address
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Address Line | 14875 SW 238TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33032-8702
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Country | US
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Telephone | 786-236-7927
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Fax | 305-257-0040
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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 | MH7474
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License Number State | FL
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