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General NPI Number Information
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NPI Number | 1962662387
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Entity Type | Organization
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Legal Business Name | LA MER HEALTH SERVICES CORPORATION
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 5880 COLLINS AVE. #904
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City | MIAMI BEACH
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State | FL
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Zip | 33140
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Country | US
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Telephone | 305-318-7028
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Fax | 305-892-8406
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Provider Business Mailing Address
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Address Line | 5880 COLLINS AVE. #904
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City | MIAMI BEACH
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State | FL
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Zip | 33140
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Country | US
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Telephone | 305-318-7028
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Fax | 305-892-8406
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MERLYN JOSENDE
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Credential | L.M.H.C.
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Telephone | 305-318-7028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | HCC6856
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License Number State | FL
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