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General NPI Number Information
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NPI Number | 1396346540
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Entity Type | Individual
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Provider Name | RACHEL FOX
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Gender | Female
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 19477 NE 10TH AVE APT 424
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-5742
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Country | US
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Telephone | 571-481-6184
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Fax |
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Provider Business Mailing Address
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Address Line | 19477 NE 10TH AVE APT 424
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-5742
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Country | US
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Telephone | 571-481-6184
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-24-73608
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License Number State | FL
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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 | RBT-20-128808
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License Number State | FL
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