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General NPI Number Information
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NPI Number | 1043981236
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Entity Type | Individual
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Provider Name | MARLEN MEJIAS RBT
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Gender | Female
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 1342 SE 46TH LN
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City | CAPE CORAL
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State | FL
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Zip | 33904-8617
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Country | US
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Telephone | 239-351-3318
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Fax | 239-673-6895
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Provider Business Mailing Address
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Address Line | 5050 TAMIAMI TRL N STE B
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City | NAPLES
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State | FL
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Zip | 34103-2853
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Country | US
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Telephone | 239-351-0675
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Fax | 239-631-5295
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 21-172850
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License Number State | FL
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