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General NPI Number Information
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NPI Number | 1265034888
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Entity Type | Individual
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Provider Name | EMILY JEAN LUDWIG
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Gender | Female
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 1765 SW CAPTAINS PL
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City | PALM CITY
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State | FL
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Zip | 34990-1747
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Country | US
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Telephone | 772-266-8727
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Fax |
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Provider Business Mailing Address
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Address Line | 9605 CAPENDON AVE
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-7714
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Country | US
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Telephone | 561-821-1310
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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-20-13039
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-24-78529
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License Number State | FL
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