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General NPI Number Information
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NPI Number | 1154053031
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Entity Type | Organization
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Legal Business Name | THE PIECES FIT INTERVENTIONS LLC
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 13355 W COLONIAL DR
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City | WINTER GARDEN
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State | FL
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Zip | 34787-3970
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Country | US
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Telephone | 407-730-2948
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Fax | 407-250-4833
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Provider Business Mailing Address
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Address Line | 13538 VILLAGE PARK DR STE 145
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City | ORLANDO
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State | FL
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Zip | 32837-3600
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Country | US
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Telephone | 407-730-2948
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Fax | 407-250-4833
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Authorized Official
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Title or Position | OWNER
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Name | CARLOS ANTHONY SANTIAGO
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Credential |
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Telephone | 407-730-2948
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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 |
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