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General NPI Number Information
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NPI Number | 1134945066
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Entity Type | Individual
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Provider Name | THAYDE I ALVAREZ LEYVA
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Gender | Female
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 8300 W FLAGLER ST STE 170
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City | MIAMI
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State | FL
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Zip | 33144-2098
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Country | US
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Telephone | 786-633-5171
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Fax |
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Provider Business Mailing Address
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Address Line | 5270 SW 4TH ST FL CORAL
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City | CORAL GABLES
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State | FL
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Zip | 33134-1163
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Country | US
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Telephone | 786-218-8009
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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-24391195
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License Number State | FL
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