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General NPI Number Information
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NPI Number | 1356582522
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Entity Type | Individual
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Provider Name | MRS. XIMENA P IZQUIERDO
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Gender | Female
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 3300 NE 192ND ST APT 1515
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City | AVENTURA
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State | FL
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Zip | 33180-2435
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Country | US
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Telephone | 305-494-7357
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 NE 192ND ST APT 1515
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City | AVENTURA
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State | FL
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Zip | 33180-2435
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Country | US
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Telephone | 305-494-7357
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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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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP4596
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License Number State | FL
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