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General NPI Number Information
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NPI Number | 1881238418
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Entity Type | Organization
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Legal Business Name | PRO-MENTAL HEALTH CONNECTIONS LLC
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Dates
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Enumeration Date | 11/06/2019
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 9247 SW 209TH TER
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City | CUTLER BAY
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State | FL
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Zip | 33189-3417
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Country | US
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Telephone | 786-419-5852
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Fax |
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Provider Business Mailing Address
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Address Line | 9247 SW 209TH TER
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City | CUTLER BAY
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State | FL
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Zip | 33189-3417
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | ALBERTO SANCHEZ
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Credential |
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Telephone | 305-300-3121
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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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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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