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General NPI Number Information
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NPI Number | 1164212528
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Entity Type | Organization
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Legal Business Name | MANAGEMENT LAYR
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 3290 4TH AVE SE
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City | NAPLES
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State | FL
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Zip | 34117-3778
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Country | US
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Telephone | 786-602-0904
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Fax |
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Provider Business Mailing Address
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Address Line | 3290 4TH AVE SE
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City | NAPLES
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State | FL
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Zip | 34117-3778
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | LUIS A. YANCE
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Credential |
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Telephone | 305-827-7344
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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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