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NPI 1023487113

NPI 1023487113 : YENEIRI MIRO : LAUDERHILL, FL

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General NPI Number Information
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    NPI Number           |    1023487113
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    Entity Type          |    Individual 
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    Provider Name        |    YENEIRI MIRO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/18/2015
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    Last Update Date     |    08/18/2025
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Provider Practice Location Address
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    Address Line         |    7100 W COMMERCIAL BLVD STE 106 
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    City                 |    LAUDERHILL
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    State                |    FL
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    Zip                  |    33319-2147
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    Country              |    US
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    Telephone            |    754-232-2026
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    Fax                  |    786-221-4188
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Provider Business Mailing Address
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    Address Line         |    991 E 27TH ST 
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    City                 |    HIALEAH
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    State                |    FL
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    Zip                  |    33013-3414
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    Country              |    US
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    Telephone            |    
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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       |    
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    License Number State |    
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