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General NPI Number Information
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NPI Number | 1003336173
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Entity Type | Organization
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Legal Business Name | ADVANCE BEHAVIOR COALITION INC
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 05/01/2018
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Provider Practice Location Address
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Address Line | 14531 SW 157TH CT
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City | MIAMI
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State | FL
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Zip | 33196-6748
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Country | US
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Telephone | 305-733-9005
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Fax |
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Provider Business Mailing Address
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Address Line | 14531 SW 157TH CT
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City | MIAMI
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State | FL
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Zip | 33196-6748
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Country | US
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Telephone | 786-200-2726
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. HECTOR J SALAZAR JR.
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Credential |
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Telephone | 305-733-9005
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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 |
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License Number State |
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