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General NPI Number Information
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NPI Number | 1124840293
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Entity Type | Individual
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Provider Name | LORENA RODRIGUEZ CARDOSO
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Gender | Female
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 3750 NW 87TH AVE STE 700
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City | DORAL
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State | FL
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Zip | 33178-2434
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Country | US
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Telephone | 305-330-4660
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 SW 15TH ST
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City | MIAMI
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State | FL
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Zip | 33145-1314
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-23-311131
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-24-15668
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License Number State | FL
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