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General NPI Number Information
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NPI Number | 1912735960
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Entity Type | Individual
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Provider Name | YAIMI GONZALEZ CBHCMS
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Gender | Female
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Dates
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Enumeration Date | 07/22/2024
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 15305 NW 60TH AVE STE 100
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2461
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Country | US
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Telephone | 786-536-7561
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Fax | 305-437-8180
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Provider Business Mailing Address
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Address Line | 18255 NW 68TH AVE APT 121
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City | HIALEAH
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State | FL
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Zip | 33015-3483
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Country | US
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Telephone | 305-753-6461
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Fax | 305-437-8159
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CBHCMS.0102734
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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