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General NPI Number Information
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NPI Number | 1104384056
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Entity Type | Individual
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Provider Name | CLARA KARINA CRUZ
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Gender | Female
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 7971 RIVIERA BLVD STE 434
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City | MIRAMAR
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State | FL
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Zip | 33023-6451
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Country | US
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Telephone | 305-859-3070
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Fax |
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Provider Business Mailing Address
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Address Line | 8764 NW 149TH TER
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City | MIAMI LAKES
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State | FL
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Zip | 33018-1312
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Country | US
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Telephone | 305-399-5268
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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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 |
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License Number State | FL
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