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General NPI Number Information
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NPI Number | 1942360771
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Entity Type | Individual
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Provider Name | MIGUEL KOSCHIL PHD
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 2650 BISCAYNE BLVD
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City | MIAMI
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State | FL
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Zip | 33137
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Country | US
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Telephone | 305-741-5628
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Fax | 305-397-1650
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Provider Business Mailing Address
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Address Line | 3485 W FLAGLER ST STE 500
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City | MIAMI
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State | FL
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Zip | 33135-1046
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Country | US
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Telephone | 786-545-6754
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Fax | 305-397-1650
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW10337
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License Number State | FL
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