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General NPI Number Information
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NPI Number | 1851997001
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Entity Type | Organization
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Legal Business Name | CLINIC WELLNESS & HAPPINESS LLC
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 8725 NW 18TH TER STE 206
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City | DORAL
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State | FL
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Zip | 33172-2629
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Country | US
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Telephone | 786-536-7861
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Fax | 786-359-4468
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Provider Business Mailing Address
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Address Line | 8725 NW 18TH TER STE 206
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City | DORAL
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State | FL
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Zip | 33172-2629
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Country | US
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Telephone | 786-536-7861
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Fax | 786-359-4468
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Authorized Official
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Title or Position | CORPORATE MGER
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Name | YENY RIERA
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Credential |
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Telephone | 786-536-7861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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