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General NPI Number Information
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NPI Number | 1922171313
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Entity Type | Individual
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Provider Name | GERTRUDIS PEREZ-DUSEK PSYD
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Gender | Female
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8280 NW 27TH ST SUITE 511
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City | DORAL
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State | FL
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Zip | 33122-1927
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Country | US
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Telephone | 305-718-3712
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Fax |
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Provider Business Mailing Address
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Address Line | 6524 PELICAN AVE
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City | COCONUT CREEK
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State | FL
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Zip | 33073-2423
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Country | US
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Telephone | 954-571-0253
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Fax | 786-246-4247
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 5017
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY 6487
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License Number State | FL
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