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General NPI Number Information
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NPI Number | 1154821445
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Entity Type | Individual
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Provider Name | GIOVANNA ZANDOMENIGHI CAMPOS
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Gender | Female
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Dates
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Enumeration Date | 02/13/2018
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 1825 MAIN ST STE 26
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City | WESTON
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State | FL
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Zip | 33326-3683
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Country | US
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Telephone | 561-618-5499
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Fax | 561-828-9338
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Provider Business Mailing Address
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Address Line | 14951 ROYAL OAKS LN APT 1905
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2482
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Country | US
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Telephone | 786-942-5510
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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 | 18-57680
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-26-87609
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License Number State | FL
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