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General NPI Number Information
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NPI Number | 1396578936
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Entity Type | Individual
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Provider Name | ALBERTO MIGUEL PRENDES DABLANCO
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Gender | Male
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 100 NE 15TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-4581
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Country | US
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Telephone | 305-764-8241
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Fax |
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Provider Business Mailing Address
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Address Line | 28002 SW 134TH PL
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City | HOMESTEAD
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State | FL
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Zip | 33033-1952
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Country | US
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Telephone | 786-296-4986
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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-24-337188
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License Number State | FL
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