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General NPI Number Information
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NPI Number | 1376178830
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Entity Type | Individual
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Provider Name | SARAHI SUAREZ LANDIN
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Gender | Female
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 707 NW DOUGLAS CIR
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City | CAPE CORAL
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State | FL
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Zip | 33993-8631
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Country | US
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Telephone | 786-318-4057
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Fax |
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Provider Business Mailing Address
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Address Line | 10684 NW 87TH CT
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-4606
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Country | US
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Telephone | 786-318-4057
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT19-109378
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License Number State | FL
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