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General NPI Number Information
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NPI Number | 1487893129
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Entity Type | Individual
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Provider Name | CELISABEL CALDEVILLA BACB
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Gender | Female
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 10/14/2019
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Provider Practice Location Address
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Address Line | 14850 SW 26TH ST STE 211
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City | MIAMI
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State | FL
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Zip | 33185
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Country | US
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Telephone | 786-681-0777
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Fax | 786-681-0770
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Provider Business Mailing Address
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Address Line | 14850 SW 26TH ST STE 211
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City | MIAMI
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State | FL
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Zip | 33185-5932
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Country | US
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Telephone | 786-681-0777
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Fax | 786-681-0770
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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 |
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License Number State |
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