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General NPI Number Information
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NPI Number | 1972857969
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Entity Type | Individual
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Provider Name | YAZMINE MARIMON LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 09/22/2014
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Provider Practice Location Address
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Address Line | 4770 BISCAYNE BLVD STE 1440
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City | MIAMI
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State | FL
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Zip | 33137-3247
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Country | US
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Telephone | 786-229-6947
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Fax |
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Provider Business Mailing Address
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Address Line | 7513 ADVENTURE AVE
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City | NORTH BAY VILLAGE
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State | FL
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Zip | 33141-4107
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Country | US
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Telephone | 786-229-6947
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH11433
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License Number State | FL
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