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General NPI Number Information
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NPI Number | 1376991232
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Entity Type | Individual
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Provider Name | ZORAIDA BEJERANO MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 9248 SW 154TH CT
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City | MIAMI
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State | FL
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Zip | 33196-1136
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Country | US
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Telephone | 305-586-1016
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Fax |
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Provider Business Mailing Address
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Address Line | 401 NW 59TH CT
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City | MIAMI
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State | FL
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Zip | 33126-3137
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Country | US
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Telephone | 305-586-1016
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Fax | 786-250-5094
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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-15-09375
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License Number State | FL
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