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General NPI Number Information
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NPI Number | 1528417144
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Entity Type | Individual
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Provider Name | EYDHER VERDECIA
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Gender | Male
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Dates
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Enumeration Date | 06/04/2016
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 204 SW 7TH AVE
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5342
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Country | US
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Telephone | 786-306-3289
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Fax |
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Provider Business Mailing Address
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Address Line | 204 SW 7TH AVE
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5342
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Country | US
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Telephone | 786-306-3289
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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 | 15-01507
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 4392
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License Number State | FL
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