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General NPI Number Information
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NPI Number | 1306214283
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Entity Type | Organization
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Legal Business Name | PUZZLE BUILDERS
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 12840 SW 72ND TER
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City | MIAMI
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State | FL
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Zip | 33183-3403
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Country | US
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Telephone | 305-632-5566
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 835614
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City | MIAMI
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State | FL
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Zip | 33283-5614
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Country | US
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Telephone | 305-632-5566
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Fax |
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Authorized Official
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Title or Position | PART OWNER
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Name | MS. TATIANA ALBA
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Credential |
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Telephone | 305-632-5566
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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 | FL
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