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General NPI Number Information
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NPI Number | 1013509801
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Entity Type | Individual
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Provider Name | MISS MARILIN MOSQUERA
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Gender | Female
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 3271 NW 7TH ST STE 203
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City | MIAMI
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State | FL
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Zip | 33125-4141
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Country | US
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Telephone | 786-220-6902
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Fax |
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Provider Business Mailing Address
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Address Line | 275 SW 43RD AVE
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City | CORAL GABLES
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State | FL
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Zip | 33134-1754
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Country | US
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Telephone | 786-340-6221
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | RBT-21-153814
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 21-153814
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License Number State | FL
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