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General NPI Number Information
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NPI Number | 1528511367
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Entity Type | Individual
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Provider Name | SAFIA C TAWFIQ GUEVARA
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Gender | Female
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 4155 SW 130TH AVE STE 108
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City | MIAMI
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State | FL
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Zip | 33175-3414
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Country | US
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Telephone | 786-695-8672
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Fax |
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Provider Business Mailing Address
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Address Line | 4 NE 44TH ST
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City | MIAMI
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State | FL
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Zip | 33137-3414
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Country | US
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Telephone | 786-580-0804
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State | FL
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