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General NPI Number Information
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NPI Number | 1932868049
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Entity Type | Organization
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Legal Business Name | REACHING WELLNESS THERAPY AND INSTRUCTION
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Dates
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Enumeration Date | 12/16/2021
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 782 NW 42ND AVE STE 4
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City | MIAMI
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State | FL
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Zip | 33126-5546
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Country | US
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Telephone | 786-340-2687
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Fax |
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Provider Business Mailing Address
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Address Line | 9380 SW 72ND ST STE B165
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City | MIAMI
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State | FL
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Zip | 33173-5456
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Country | US
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Telephone | 786-340-2687
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Fax | 786-610-1163
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Authorized Official
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Title or Position | OWNER
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Name | AMARILYS RAMOS LINARES
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Credential |
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Telephone | 786-340-2687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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