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General NPI Number Information
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NPI Number | 1396563797
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Entity Type | Individual
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Provider Name | DR. KIRA PEREZ
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Gender | Female
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 2190 NW 2ND ST
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City | MIAMI
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State | FL
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Zip | 33125-5326
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Country | US
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Telephone | 305-876-6463
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Fax | 305-274-5320
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Provider Business Mailing Address
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Address Line | 6340 SW 149TH CT
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City | MIAMI
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State | FL
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Zip | 33193-2796
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Country | US
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Telephone | 786-538-5761
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Fax | 305-274-5320
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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-24-399527
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2276
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License Number State | PR
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