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General NPI Number Information
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NPI Number | 1932966389
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Entity Type | Organization
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Legal Business Name | KBRITO LLC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1690 W 44TH PL
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City | HIALEAH
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State | FL
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Zip | 33012-8401
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Country | US
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Telephone | 305-209-5141
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 NEWBERRY DR
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City | ALLEN
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State | TX
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Zip | 75013-3669
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Country | US
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Telephone | 305-209-5141
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Fax |
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Authorized Official
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Title or Position | THERAPIST/ OWNER
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Name | KEITY BRITO
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Credential | LCSW
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Telephone | 305-209-3141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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