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General NPI Number Information
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NPI Number | 1174333181
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Entity Type | Individual
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Provider Name | MRS. AIME DEL CARMEN PAVON ESCALONA
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Gender | Female
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 399 W PALMETTO PARK RD STE 202
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City | BOCA RATON
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State | FL
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Zip | 33432-3760
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Country | US
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Telephone | 561-494-4499
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Fax |
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Provider Business Mailing Address
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Address Line | 926 33RD ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-4708
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Country | US
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Telephone | 561-319-0249
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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 | RBT-24-397330
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License Number State | FL
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