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General NPI Number Information
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NPI Number | 1881410058
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Entity Type | Organization
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Legal Business Name | IN THE MIDDLE THERAPY LLC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 701 SE 8TH PL
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City | HIALEAH
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State | FL
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Zip | 33010-5619
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Country | US
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Telephone | 305-528-1256
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Fax | 305-705-3236
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Provider Business Mailing Address
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Address Line | 701 SE 8TH PL
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City | HIALEAH
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State | FL
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Zip | 33010-5619
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Country | US
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Telephone | 305-528-1256
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Fax | 305-705-3236
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | CHRISTIAN SEBASTIAN SANTOS
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Credential | LMCH
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Telephone | 305-528-1256
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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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