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General NPI Number Information
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NPI Number | 1164001723
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Entity Type | Organization
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Legal Business Name | ASCEND DEVELOPMENT CARE, LLC
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 2001 PALM BEACH LAKES BLVD STE 502C
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6518
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Country | US
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Telephone | 786-461-7513
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Fax | 561-228-0782
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Provider Business Mailing Address
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Address Line | 2001 PALM BEACH LAKES BLVD STE 502C
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6518
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Country | US
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Telephone | 786-461-7513
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Fax | 561-228-0782
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Authorized Official
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Title or Position | CEO
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Name | YAIMA CASTILLO FIGUEROA
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Credential |
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Telephone | 786-461-7513
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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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