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General NPI Number Information
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NPI Number | 1194140202
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Entity Type | Individual
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Provider Name | JOSE L CUETO CASTRO
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Gender | Male
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 27501 S DIXIE HWY
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City | HOMESTEAD
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State | FL
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Zip | 33032-8235
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Country | US
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Telephone | 305-597-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 400 NE 12TH AVE APT 404
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4515
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Country | US
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Telephone | 786-201-0042
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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-25-498223
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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