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General NPI Number Information
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NPI Number | 1063281749
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Entity Type | Individual
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Provider Name | REGLA DE LA CARIDAD OQUENDO RBT
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Gender | Female
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 5190 NW 167TH ST STE 202
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6338
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Country | US
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Telephone | 305-756-9947
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Fax | 305-756-9948
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Provider Business Mailing Address
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Address Line | 1738 NW 4TH ST
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City | MIAMI
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State | FL
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Zip | 33125-4522
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Country | US
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Telephone | 305-345-5890
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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-23-312397
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License Number State | FL
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