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General NPI Number Information
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NPI Number | 1487135018
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Entity Type | Individual
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Provider Name | ELIZA LOWRY ORLANDINI BCBA, RBT
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 13095 BRIANS CREEK DR
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City | JACKSONVILLE
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State | FL
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Zip | 32224-8491
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Country | US
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Telephone | 803-603-0108
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Fax |
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Provider Business Mailing Address
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Address Line | 13095 BRIANS CREEK DR
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City | JACKSONVILLE
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State | FL
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Zip | 32224-8491
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Country | US
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Telephone | 803-603-0108
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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-17-38823
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | RBT-17-38832
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-22-63176
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License Number State | FL
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