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General NPI Number Information
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NPI Number | 1942154604
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Entity Type | Organization
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Legal Business Name | LE-BLEU DIAMOND CORPORATION
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 1808 SW 153RD PASS
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City | MIAMI
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State | FL
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Zip | 33185-5723
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Country | US
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Telephone | 404-694-5049
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Fax |
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Provider Business Mailing Address
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Address Line | 1808 SW 153RD PASS
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City | MIAMI
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State | FL
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Zip | 33185-5723
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Country | US
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Telephone | 404-694-5049
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CATRESE ALSTON
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Credential |
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Telephone | 404-694-5049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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