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General NPI Number Information
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NPI Number | 1174186688
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Entity Type | Individual
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Provider Name | NINA STAVRINOS
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Gender | Female
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Dates
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Enumeration Date | 04/19/2019
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 777 BRICKELL AVE STE 500
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City | MIAMI
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State | FL
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Zip | 33131-2803
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Country | US
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Telephone | 305-330-4660
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 SW 4TH AVE
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City | MIAMI
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State | FL
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Zip | 33129-2634
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Country | US
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Telephone | 786-247-1887
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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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 | 1-19-40118
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License Number State |
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