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General NPI Number Information
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NPI Number | 1558623074
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Entity Type | Individual
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Provider Name | ZENAYDA LA FONTAINE
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Gender | Female
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 9241 SW 212TH TER STE B360
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City | CUTLER BAY
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State | FL
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Zip | 33189-3833
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Country | US
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Telephone | 305-859-1590
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Fax | 305-397-2764
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Provider Business Mailing Address
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Address Line | 9241 SW 212TH TER
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City | CUTLER BAY
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State | FL
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Zip | 33189-3833
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Country | US
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Telephone | 786-447-0022
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Fax | 305-397-2764
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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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