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General NPI Number Information
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NPI Number | 1174343545
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Entity Type | Individual
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Provider Name | YUNIEL LINO RBT
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Gender | Male
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 10379 SW 186TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33157-6824
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Country | US
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Telephone | 786-250-5165
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Fax | 786-250-5158
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Provider Business Mailing Address
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Address Line | 20571 SW 103RD AVE
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City | CUTLER BAY
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State | FL
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Zip | 33189-3636
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Country | US
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Telephone | 786-222-5709
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CBHCM.0107167-P
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-24-384038
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License Number State | FL
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