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General NPI Number Information
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NPI Number | 1952785388
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Entity Type | Individual
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Provider Name | TEKISHA DURAND LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 10405 NW 7TH AVENUE
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City | NORTH MIAMI
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State | FL
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Zip | 33150
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Country | US
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Telephone | 305-833-3203
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Fax |
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Provider Business Mailing Address
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Address Line | 41 NE 95TH ST
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2706
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Country | US
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Telephone | 305-833-3203
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW18587
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License Number State | FL
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