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General NPI Number Information
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NPI Number | 1114724697
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Entity Type | Individual
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Provider Name | RAMONA MERCEDES PERALTA DE JESUS
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Gender |
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1527 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-2116
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Country | US
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Telephone | 407-982-7718
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Fax |
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Provider Business Mailing Address
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Address Line | 5325 CURRY FORD RD APT F101
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City | ORLANDO
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State | FL
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Zip | 32812-8810
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Country | US
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Telephone | 407-732-1092
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | FL
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