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General NPI Number Information
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NPI Number | 1053279562
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Entity Type | Individual
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Provider Name | ELIZABETH MORALES GONZALEZ
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Gender | Female
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 13371 SW 270TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33032-8085
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Country | US
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Telephone | 305-994-4738
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Fax |
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Provider Business Mailing Address
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Address Line | 777 NW 72ND AVE STE 1083
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City | MIAMI
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State | FL
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Zip | 33126-3176
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Country | US
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Telephone | 305-342-7643
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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 | 1-25-86729
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License Number State | FL
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