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General NPI Number Information
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NPI Number | 1578425856
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Entity Type | Individual
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Provider Name | MARLOIDY FIDALGO
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Gender | Female
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 18341 NW 39TH CT
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-2821
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Country | US
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Telephone | 786-782-6043
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Fax | 786-782-6043
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Provider Business Mailing Address
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Address Line | 98 NE 5TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-5043
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Country | US
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Telephone | 786-782-6043
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Fax | 786-782-6043
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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-25-494098
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License Number State | FL
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