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General NPI Number Information
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NPI Number | 1518824192
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Entity Type | Individual
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Provider Name | DIEGO FERNANDO VELASCO SALAZAR
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Gender | Male
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2054 VISTA PKWY STE 401
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-6741
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Country | US
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Telephone | 404-953-1197
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Fax |
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Provider Business Mailing Address
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Address Line | 4752 NW 97TH CT
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City | DORAL
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State | FL
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Zip | 33178-1991
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Country | US
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Telephone | 404-953-1197
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | RBT-25-488609
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License Number State | FL
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