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General NPI Number Information
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NPI Number | 1447703327
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Entity Type | Individual
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Provider Name | PATRICIA PURITZ M.S.ED
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Gender | Female
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 15800 PINES BLVD SUITE 3011
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1212
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Country | US
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Telephone | 786-356-8161
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 N COUNTRY CLUB DR APT 408
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City | AVENTURA
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State | FL
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Zip | 33180-1700
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Country | US
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Telephone | 786-457-2381
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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 | RBT-15-04629
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License Number State | FL
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