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General NPI Number Information
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NPI Number | 1982441515
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Entity Type | Organization
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Legal Business Name | OPERATION HEALING MINDS CORP
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Dates
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Enumeration Date | 07/11/2024
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 8353 SW 124TH ST STE 204E
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City | MIAMI
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State | FL
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Zip | 33156-5847
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Country | US
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Telephone | 954-624-6016
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Fax |
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Provider Business Mailing Address
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Address Line | 8250 SW 136TH ST
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City | MIAMI
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State | FL
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Zip | 33156-6657
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Country | US
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Telephone | 954-624-6016
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NIURKA SOTOLONGO EBERHARDT
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Credential | LMHC
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Telephone | 954-624-6016
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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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