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General NPI Number Information
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NPI Number | 1134658495
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Entity Type | Individual
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Provider Name | LUZ AREVALO
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Gender | Female
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 06/01/2025
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Provider Practice Location Address
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Address Line | 3520 OAKS WAY #904
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City | POMPANO BEACH
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State | FL
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Zip | 33069
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Country | US
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Telephone | 305-807-1909
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Fax |
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Provider Business Mailing Address
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Address Line | 411 NW 1ST AVE APT 205
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-3382
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Country | US
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Telephone | 954-205-6651
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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 | 1-24-78082
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License Number State | FL
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