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General NPI Number Information
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NPI Number | 1508670589
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Entity Type | Individual
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Provider Name | MELIZA BARBARA OVIEDO MUR
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Gender | Female
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Dates
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Enumeration Date | 02/01/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 550 SE PORT ST LUCIE BLVD STE 3
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City | PORT ST LUCIE
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State | FL
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Zip | 34984-5108
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Country | US
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Telephone | 772-202-0173
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Fax | 772-209-7631
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Provider Business Mailing Address
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Address Line | 1510 RIVER DR APT C103
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City | TAMPA
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State | FL
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Zip | 33603-7034
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Country | US
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Telephone | 813-410-1734
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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-25-407659
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License Number State | FL
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