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General NPI Number Information
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NPI Number | 1114720885
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Entity Type | Individual
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Provider Name | VICTORIA AGARKOVA I RBT
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Gender | Female
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1755 E HALLANDALE BEACH BLVD UNIT 208E
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4685
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Country | US
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Telephone | 754-295-8849
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Fax |
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Provider Business Mailing Address
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Address Line | 3911 SW 56TH CT
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-6227
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Country | US
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Telephone | 305-988-5115
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Fax | 305-402-8554
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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-24-399410
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License Number State | FL
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