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General NPI Number Information
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NPI Number | 1366677494
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Entity Type | Individual
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Provider Name | INGRID C SOSA
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Gender | Female
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 12700 SW 122ND AVE STE 110
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City | MIAMI
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State | FL
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Zip | 33186-5271
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Country | US
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Telephone | 786-353-2900
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Fax | 786-364-1676
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Provider Business Mailing Address
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Address Line | 9260 HAMMOCKS BLVD STE 202
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City | MIAMI
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State | FL
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Zip | 33196-1584
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Country | US
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Telephone | 786-353-2900
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Fax | 786-364-1676
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 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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