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General NPI Number Information
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NPI Number | 1205667052
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Entity Type | Individual
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Provider Name | VALERIA SOFIA PEREZ
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Gender | Female
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Dates
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Enumeration Date | 08/13/2024
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 9010 SW 137TH AVE STE 239
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City | MIAMI
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State | FL
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Zip | 33186-1408
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Country | US
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Telephone | 786-817-2356
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Fax |
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Provider Business Mailing Address
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Address Line | 23616 SW 108TH PL
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City | HOMESTEAD
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State | FL
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Zip | 33032-6105
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Country | US
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Telephone | 786-209-8435
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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 | RBT23-295168
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License Number State | FL
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