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General NPI Number Information
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NPI Number | 1336793769
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Entity Type | Individual
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Provider Name | KEVIN SEGUI
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Gender | Male
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | 8240 NW 52ND TER STE 202
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City | DORAL
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State | FL
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Zip | 33166-7766
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Country | US
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Telephone | 305-735-3878
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Fax |
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Provider Business Mailing Address
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Address Line | 1217 NE 127TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5144
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Country | US
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Telephone |
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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 | 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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