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General NPI Number Information
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NPI Number | 1215809363
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Entity Type | Individual
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Provider Name | LIUDMILA BORREGO RBT
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Gender | Female
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 9380 SW 72ND ST STE B224
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City | MIAMI
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State | FL
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Zip | 33173-5460
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Country | US
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Telephone | 786-353-2593
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Fax |
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Provider Business Mailing Address
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Address Line | 891 W 35TH ST
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City | HIALEAH
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State | FL
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Zip | 33012-5161
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Country | US
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Telephone | 786-314-2296
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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-25-458818
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License Number State | FL
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