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General NPI Number Information
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NPI Number | 1114783453
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Entity Type | Individual
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Provider Name | YAMILET JIMENEZ I RBT
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Gender | Female
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 13247 SW 286TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33033-7548
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Country | US
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Telephone | 305-302-8040
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 700731
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City | MIAMI
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State | FL
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Zip | 33170-0731
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Country | US
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Telephone | 786-601-2608
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Fax | 305-647-0250
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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-23-317125
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License Number State | FL
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