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General NPI Number Information
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NPI Number | 1194201244
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Entity Type | Individual
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Provider Name | ALEXIS ARAUZ
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Gender | Female
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 04/02/2019
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Provider Practice Location Address
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Address Line | 5454 LITHIA PINECREST RD
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City | LITHIA
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State | FL
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Zip | 33547
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Country | US
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Telephone | 813-467-9280
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Fax | 813-773-6537
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Provider Business Mailing Address
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Address Line | 175 MIDDLE ST UNIT 1201
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City | LAKE MARY
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State | FL
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Zip | 32746-3625
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Country | US
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Telephone | 407-413-9550
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Fax | 407-588-6338
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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-18-60345
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License Number State | FL
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