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General NPI Number Information
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NPI Number | 1962272054
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Entity Type | Organization
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Legal Business Name | VIVA PSYCHOTHERAPY
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 5301 N FEDERAL HWY STE 104
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City | BOCA RATON
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State | FL
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Zip | 33487-4908
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Country | US
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Telephone | 561-759-7519
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Fax |
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Provider Business Mailing Address
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Address Line | 5801 NW 3RD TER
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City | BOCA RATON
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State | FL
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Zip | 33487-4322
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Country | US
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Telephone | 561-759-7519
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | LIDIANA CARTOLANO
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Credential | RMHCI
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Telephone | 561-579-7519
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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 |
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License Number State |
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