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General NPI Number Information
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NPI Number | 1093348344
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Entity Type | Individual
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Provider Name | JENNIFER D TREJO RBT
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Gender | Female
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Dates
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Enumeration Date | 02/14/2020
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 7789 NW 146TH ST STE B
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1567
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Country | US
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Telephone | 954-990-9800
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Fax | 305-907-5322
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Provider Business Mailing Address
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Address Line | 3475 N COUNTRY CLUB DR
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City | AVENTURA
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State | FL
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Zip | 33180-1728
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Country | US
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Telephone | 786-768-6558
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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-20-111769
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License Number State | FL
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