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General NPI Number Information
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NPI Number | 1417783176
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Entity Type | Individual
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Provider Name | GIOVANNI VACCARO
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Gender | Male
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 13300 SW 128TH ST
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City | MIAMI
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State | FL
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Zip | 33186-5899
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Country | US
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Telephone | 786-250-3451
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Fax |
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Provider Business Mailing Address
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Address Line | 11457 NW 51ST LN
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City | DORAL
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State | FL
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Zip | 33178-3559
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Country | US
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Telephone | 786-877-4661
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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 |
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License Number State | FL
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