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General NPI Number Information
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NPI Number | 1073229050
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Entity Type | Organization
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Legal Business Name | NEW OPPORTUNITIES THERAPY GROUP LLC
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 16154 SW 148TH TER
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City | MIAMI
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State | FL
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Zip | 33196-6417
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Country | US
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Telephone | 305-216-5014
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Fax |
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Provider Business Mailing Address
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Address Line | 16154 SW 148TH TER
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City | MIAMI
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State | FL
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Zip | 33196-6417
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Country | US
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Telephone | 305-216-5014
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GILDA BERMUDEZ
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Credential |
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Telephone | 305-216-5014
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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 |
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License Number State |
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