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General NPI Number Information
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NPI Number | 1497509418
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Entity Type | Individual
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Provider Name | ANGELICA CHIRINO TORRES
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Gender | Female
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 350 FAIRWAY DR STE 101
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-1834
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Country | US
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Telephone | 877-418-2979
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Fax | 866-500-2186
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Provider Business Mailing Address
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Address Line | 6525 WAGON TRAIL ST
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541-2557
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Country | US
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Telephone | 354-397-1634
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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-24-340205
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License Number State |
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