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General NPI Number Information
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NPI Number | 1407149305
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Entity Type | Individual
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Provider Name | CHRISTIAN MENDEZ BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 2222 PONCE DE LEON BLVD STE 6-107
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City | CORAL GABLES
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State | FL
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Zip | 33134-5039
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Country | US
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Telephone | 786-310-2352
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Fax |
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Provider Business Mailing Address
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Address Line | 240 NW 25TH ST APT 417
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City | MIAMI
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State | FL
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Zip | 33127-4347
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Country | US
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Telephone | 786-457-5665
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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 |
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License Number State |
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