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General NPI Number Information
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NPI Number | 1225571490
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Entity Type | Individual
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Provider Name | ISABEL COLLADO
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Gender | Female
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 11/21/2016
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Provider Practice Location Address
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Address Line | 12350 SW 132ND CT
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City | MIAMI
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State | FL
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Zip | 33186-6456
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Country | US
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Telephone | 786-250-4020
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Fax |
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Provider Business Mailing Address
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Address Line | 7221 SW 133RD AVE
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City | MIAMI
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State | FL
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Zip | 33183-3229
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Country | US
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Telephone | 786-523-3302
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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