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General NPI Number Information
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NPI Number | 1477183473
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Entity Type | Individual
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Provider Name | ESTEBAN ARMANDO MARCOS
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Gender | Male
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Dates
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Enumeration Date | 01/19/2020
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Last Update Date | 07/10/2025
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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 | 786-426-3786
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Fax | 305-508-6697
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Provider Business Mailing Address
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Address Line | 7485 NW 33RD ST UNIT 1202
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2479
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Country | US
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Telephone | 954-600-6771
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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 | RBT-19-107813
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License Number State | FL
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