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General NPI Number Information
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NPI Number | 1972806461
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Entity Type | Individual
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Provider Name | VANIA MERCEDES SIMON M.S., LMHC-QS
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Gender | Female
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 10671 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-1510
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Country | US
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Telephone | 786-416-0811
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Fax | 786-558-5483
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Provider Business Mailing Address
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Address Line | 10671 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-1510
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Country | US
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Telephone | 786-416-0811
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Fax | 786-558-5483
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | MH10238
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | MH10238
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH10238
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License Number State | FL
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