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General NPI Number Information
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NPI Number | 1578010765
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Entity Type | Individual
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Provider Name | ANDREA PALERMO
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Gender | Female
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 10447 SW 108TH AVE APT E278
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City | MIAMI
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State | FL
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Zip | 33176-8115
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Country | US
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Telephone | 786-645-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 9601 SW 142ND AVE APT 624
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City | MIAMI
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State | FL
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Zip | 33186-6862
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Country | US
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Telephone | 786-444-5172
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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 | RBT-17-38404
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License Number State | FL
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Taxonomy #2
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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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