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General NPI Number Information
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NPI Number | 1932257532
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Entity Type | Organization
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Legal Business Name | PAULA L PONCE LMHC, INC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 12/26/2016
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Provider Practice Location Address
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Address Line | 1514 SAN IGNACIO AVE STE 250
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City | CORAL GABLES
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State | FL
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Zip | 33146-3072
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Country | US
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Telephone | 305-667-9910
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Fax | 305-667-9913
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Provider Business Mailing Address
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Address Line | 1550 MADRUGA AVE STE 305
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City | CORAL GABLES
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State | FL
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Zip | 33146-3039
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Country | US
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Telephone | 305-667-9910
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Fax | 305-461-4122
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PAULA LOUISE PONCE
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Credential | M.A., L.M.H.C.
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Telephone | 305-667-9910
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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 | MH3273
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License Number State | FL
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