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General NPI Number Information
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NPI Number | 1013614577
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Entity Type | Individual
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Provider Name | DELANEE LOPEZ
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Gender | Female
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Dates
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Enumeration Date | 02/14/2023
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 7635 ASHLEY PARK CT STE 503
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City | ORLANDO
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State | FL
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Zip | 32835-6196
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Country | US
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Telephone | 321-972-4265
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Fax |
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Provider Business Mailing Address
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Address Line | 106 E ANDREWS AVE
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City | FRESNO
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State | CA
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Zip | 93704-4531
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Country | US
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Telephone | 559-381-2624
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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