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General NPI Number Information
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NPI Number | 1871853168
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Entity Type | Individual
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Provider Name | MARCELA CARRANZA PSY. D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 03/08/2019
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Provider Practice Location Address
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Address Line | 7000 NW 41ST ST
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City | MIAMI
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State | FL
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Zip | 33166-6817
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Country | US
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Telephone | 305-908-6094
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Fax | 305-631-2661
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Provider Business Mailing Address
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Address Line | 8215 SW 72ND AVE APT 2410
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City | MIAMI
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State | FL
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Zip | 33143-7882
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Country | US
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Telephone | 786-385-4334
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Fax | 305-631-2661
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY9136
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License Number State | FL
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