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General NPI Number Information
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NPI Number | 1245041219
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Entity Type | Individual
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Provider Name | MARIANO MONTERO QUESADA
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Gender | Male
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 7212 CURRY FORD RD BLDG 3
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City | ORLANDO
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State | FL
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Zip | 32822-5806
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Country | US
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Telephone | 407-574-4881
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Fax |
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Provider Business Mailing Address
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Address Line | 1229 VIZCAYA LAKE RD APT 307
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City | OCOEE
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State | FL
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Zip | 34761-6976
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Country | US
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Telephone | 786-965-6115
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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 |
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License Number State | FL
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