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General NPI Number Information
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NPI Number | 1053929562
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Entity Type | Individual
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Provider Name | CATHERINE GABRIELLE MOCERI
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Gender | Female
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 5500 MURRELL RD UNIT 100
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City | MELBOURNE
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State | FL
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Zip | 32940-6700
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Country | US
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Telephone | 321-426-7759
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Fax |
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Provider Business Mailing Address
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Address Line | 571 LAKE ASHLEY CIR
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City | MELBOURNE
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State | FL
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Zip | 32904-1984
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Country | US
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Telephone | 772-380-5632
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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 | I526-127-00-594-0
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | M260127005940
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License Number State | FL
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