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General NPI Number Information
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NPI Number | 1982253076
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Entity Type | Organization
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Legal Business Name | MONIKA LA NUEZ, LCSW, LLC
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 6919 SW 18TH STREET SUITE 200-239
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City | BOCA RATON
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State | FL
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Zip | 33433
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Country | US
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Telephone | 917-843-7803
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Fax |
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Provider Business Mailing Address
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Address Line | 8098 RAINFOREST JASPER LN
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2254
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Country | US
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Telephone | 917-843-7803
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. MONIKA LA NUEZ
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Credential | LCSW
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Telephone | 917-843-7803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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