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General NPI Number Information
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NPI Number | 1326930298
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Entity Type | Individual
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Provider Name | NATALIA NOEMI CORVETTO
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Gender |
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 3911 SW 56TH CT
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-6227
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Country | US
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Telephone | 305-988-5115
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 NE 183RD ST APT 1805W
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City | AVENTURA
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State | FL
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Zip | 33160-2133
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Country | US
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Telephone | 305-788-5031
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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 |
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