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General NPI Number Information
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NPI Number | 1396279063
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Entity Type | Individual
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Provider Name | ANABEL CARAZA CRUZ
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Gender | Female
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 10/06/2024
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Provider Practice Location Address
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Address Line | 1534 SW 4TH ST APT 3
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City | MIAMI
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State | FL
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Zip | 33135-3641
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Country | US
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Telephone | 786-237-7778
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Fax |
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Provider Business Mailing Address
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Address Line | 2252 NW 195TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-2666
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Country | US
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Telephone | 786-237-7778
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | BCABA0-18-9366
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-51433
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License Number State | FL
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