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NPI 1346982964

NPI 1346982964 : GILBERTO ARMANDO SOLANO REYES : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1346982964
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    Entity Type          |    Individual 
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    Provider Name        |    GILBERTO ARMANDO SOLANO REYES
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/13/2022
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    Last Update Date     |    12/22/2022
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Provider Practice Location Address
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    Address Line         |    3930 NW 7TH ST APT 411 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33126-5562
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    Country              |    US
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    Telephone            |    786-351-1707
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3930 NW 7TH ST APT 411 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33126-5562
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    FL
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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       |    20-136138
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    License Number State |    FL
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