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General NPI Number Information
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NPI Number | 1578342432
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Entity Type | Individual
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Provider Name | MILENNI RAMIREZ IZQUIERDO
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Gender | Female
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 716 HUGHEY ST
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City | KISSIMMEE
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State | FL
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Zip | 34741-5626
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Country | US
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Telephone | 407-907-5172
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Fax |
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Provider Business Mailing Address
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Address Line | 7480 DWELL WELL WAY APT 4317
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City | WINTER PARK
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State | FL
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Zip | 32792-8920
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Country | US
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Telephone | 407-715-9500
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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 | 1-25-84870
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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