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NPI 1427608744

NPI 1427608744 : ANA I GONZALEZ FERIA : HOMESTEAD, FL

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General NPI Number Information
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    NPI Number           |    1427608744
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    Entity Type          |    Individual 
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    Provider Name        |    ANA I GONZALEZ FERIA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/18/2019
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    Last Update Date     |    02/28/2023
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Provider Practice Location Address
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    Address Line         |    11821 SW 243RD ST 
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    City                 |    HOMESTEAD
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    State                |    FL
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    Zip                  |    33032-4715
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    Country              |    US
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    Telephone            |    407-202-5688
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16812 SW 137TH AVE 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33177-2379
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    Country              |    US
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    Telephone            |    407-202-5688
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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