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General NPI Number Information
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NPI Number | 1548859903
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Entity Type | Individual
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Provider Name | RUTH D VALLE
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Gender | Female
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 7440 SW 50TH TER STE 100
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City | MIAMI
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State | FL
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Zip | 33155-4413
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Country | US
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Telephone | 786-803-8982
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Fax |
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Provider Business Mailing Address
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Address Line | 13790 SW 272ND ST APT 105
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City | HOMESTEAD
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State | FL
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Zip | 33032-8120
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Country | US
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Telephone | 443-716-5117
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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 |
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