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General NPI Number Information
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NPI Number | 1174228829
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Entity Type | Individual
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Provider Name | YURIDEYSI ALONSO RBT
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Gender | Female
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 1202 TECH BLVD
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City | TAMPA
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State | FL
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Zip | 33619-7871
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Country | US
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Telephone | 813-470-9566
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Fax | 844-220-9322
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Provider Business Mailing Address
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Address Line | 7713 W HIAWATHA ST
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City | TAMPA
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State | FL
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Zip | 33615-3311
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Country | US
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Telephone | 656-204-6058
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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 | RBT25442027
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License Number State |
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