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NPI 1588185185

NPI 1588185185 : ANGELICA ROMERO : DELRAY BEACH, FL

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General NPI Number Information
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    NPI Number           |    1588185185
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELICA ROMERO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/05/2017
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    Last Update Date     |    05/20/2021
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Provider Practice Location Address
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    Address Line         |    5180 W ATLANTIC AVE 
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    City                 |    DELRAY BEACH
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    State                |    FL
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    Zip                  |    33484-8103
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    Country              |    US
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    Telephone            |    561-674-9996
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    Fax                  |    561-425-5658
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Provider Business Mailing Address
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    Address Line         |    2270 NE 2ND AVE 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33431-8029
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    Country              |    US
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    Telephone            |    561-460-1613
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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       |    1-21-50023
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    License Number State |    FL
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