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General NPI Number Information
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NPI Number | 1942753785
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY BEHAVIORAL SERVICES INC
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 3219 SW 26TH ST
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City | MIAMI
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State | FL
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Zip | 33133-2025
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Country | US
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Telephone | 786-999-3296
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Fax |
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Provider Business Mailing Address
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Address Line | 3219 SW 26TH ST
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City | MIAMI
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State | FL
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Zip | 33133-2025
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Country | US
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Telephone | 786-999-3296
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EDUARDO PUENTE
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Credential |
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Telephone | 786-999-3296
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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 | MH8438
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License Number State | FL
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