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General NPI Number Information
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NPI Number | 1053042697
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Entity Type | Individual
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Provider Name | LISANDRA TIHANNY FUENTES MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 3620 NW 101ST ST
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City | MIAMI
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State | FL
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Zip | 33147-1528
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Country | US
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Telephone | 786-908-3007
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Fax |
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Provider Business Mailing Address
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Address Line | 3620 NW 101ST ST
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City | MIAMI
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State | FL
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Zip | 33147-1528
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Country | US
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Telephone | 786-908-3007
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-20-111643
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-23-14721
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License Number State | FL
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