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General NPI Number Information
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NPI Number | 1093252181
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Entity Type | Individual
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Provider Name | YANEISY CALDERON
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Gender | Female
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Dates
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Enumeration Date | 01/26/2017
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1500 NE 36TH LN
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City | CAPE CORAL
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State | FL
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Zip | 33909-6427
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Country | US
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Telephone | 786-317-7131
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 W 80TH ST APT 228
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City | HIALEAH
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State | FL
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Zip | 33018-3835
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Country | US
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Telephone | 786-317-7131
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | MA 70606
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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 | RBT2012681
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License Number State | FL
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