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General NPI Number Information
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NPI Number | 1396557286
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Entity Type | Individual
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Provider Name | DELVIS HUMBERTO RUIZ URQUIA
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Gender | Male
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 555 WINDERLEY PL STE 300
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City | MAITLAND
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State | FL
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Zip | 32751-7133
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Country | US
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Telephone | 386-320-5653
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Fax |
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Provider Business Mailing Address
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Address Line | 7449 FACULTY DR
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City | ORLANDO
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State | FL
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Zip | 32807-6404
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Country | US
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Telephone | 689-231-5681
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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 | RBT-24-396949
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License Number State | FL
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