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General NPI Number Information
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NPI Number | 1114693025
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Entity Type | Individual
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Provider Name | MS. ALEXANDRA DUENAS
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Gender | Female
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 10870 SW 113TH PL
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City | MIAMI
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State | FL
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Zip | 33176-3227
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Country | US
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Telephone | 877-796-3787
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Fax |
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Provider Business Mailing Address
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Address Line | 13402 SW 43RD LN
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City | MIAMI
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State | FL
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Zip | 33175-3860
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Country | US
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Telephone | 305-484-3134
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State | FL
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