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General NPI Number Information
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NPI Number | 1891384103
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Entity Type | Individual
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Provider Name | AMY PTALIS RMFTI
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Gender | Female
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 700 S ROYAL POINCIANA BLVD STE 300
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-6667
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Country | US
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Telephone | 305-927-1692
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 COLLINS AVENUE 2-3
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City | MIAMI BEACH
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State | FL
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Zip | 33140
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Country | US
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Telephone | 305-927-1692
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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