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General NPI Number Information
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NPI Number | 1326767351
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Entity Type | Organization
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Legal Business Name | SPECTRUM THERAPY CARE LLC
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 09/14/2025
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Provider Practice Location Address
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Address Line | 8175 NW 12TH ST STE 408
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City | DORAL
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State | FL
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Zip | 33126-1899
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Country | US
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Telephone | 305-707-7308
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Fax | 786-885-2787
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Provider Business Mailing Address
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Address Line | 15605 SW 25TH TER
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City | MIAMI
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State | FL
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Zip | 33185-5773
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Country | US
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Telephone | 305-300-9151
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Fax | 786-885-2787
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Authorized Official
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Title or Position | OWNER
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Name | MRS. YESENIA GARCIA
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Credential |
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Telephone | 305-707-7308
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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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