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General NPI Number Information
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NPI Number | 1326708652
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Entity Type | Individual
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Provider Name | ROMEL HILAIRE
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Gender | Male
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Dates
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Enumeration Date | 12/28/2021
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 8785 SW 165TH AVE STE 104
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City | MIAMI
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State | FL
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Zip | 33193-5827
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Country | US
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Telephone | 786-206-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 8303 NW 26TH PL
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City | SUNRISE
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State | FL
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Zip | 33322-2915
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Country | US
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Telephone | 754-269-2275
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | MN
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Taxonomy #2
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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 |
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