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General NPI Number Information
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NPI Number | 1467918730
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Entity Type | Individual
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Provider Name | JULIETA BELEN NAVARRO
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Gender | Female
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 2615 FAIRWAYS DR
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City | HOMESTEAD
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State | FL
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Zip | 33035-1173
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Country | US
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Telephone | 954-740-4317
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Fax |
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Provider Business Mailing Address
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Address Line | 7830 W 29TH WAY APT 102
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City | HIALEAH
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State | FL
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Zip | 33018-7258
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Country | US
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Telephone |
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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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 | 1-20-45195
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License Number State | FL
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