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General NPI Number Information
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NPI Number | 1508324757
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Entity Type | Individual
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Provider Name | ERATINA E OPEL
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Gender | Female
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Dates
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Enumeration Date | 03/06/2019
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 3771 STEFANI RD
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City | CANTONMENT
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State | FL
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Zip | 32533-7795
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Country | US
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Telephone | 850-607-6910
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Fax | 850-607-6932
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Provider Business Mailing Address
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Address Line | 2821 S FERDON BLVD # 1075
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City | CRESTVIEW
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State | FL
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Zip | 32536-8474
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Country | US
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Telephone | 334-939-2170
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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