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General NPI Number Information
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NPI Number | 1356951115
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Entity Type | Individual
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Provider Name | LIANA DE LA CARIDAD NOVOA CASTILLO RBT
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Gender | Female
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Dates
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Enumeration Date | 08/06/2020
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Last Update Date | 08/06/2020
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Provider Practice Location Address
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Address Line | 5040 NW 7TH ST STE 685
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City | MIAMI
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State | FL
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Zip | 33126-3432
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Country | US
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Telephone | 786-580-3737
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 N 67TH TER
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City | HOLLYWOOD
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State | FL
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Zip | 33024-3909
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Country | US
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Telephone | 305-527-9330
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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 | RBT-20-124553
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License Number State | FL
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