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General NPI Number Information
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NPI Number | 1386123131
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Entity Type | Individual
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Provider Name | DANIA CONCEPCION BAUTA
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Gender | Female
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 12841 SW 43RD DR APT 261A
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City | MIAMI
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State | FL
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Zip | 33175-4182
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Country | US
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Telephone | 512-679-3070
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Fax |
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Provider Business Mailing Address
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Address Line | 730 ARNOLD DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-3912
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Country | US
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Telephone | 786-561-2033
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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 | 023009300
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License Number State | FL
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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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