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General NPI Number Information
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NPI Number | 1588387575
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Entity Type | Individual
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Provider Name | MAIDELYN GARCIA
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Gender | Female
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 1420 CELEBRATION BLVD STE 200
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City | CELEBRATION
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State | FL
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Zip | 34747-5162
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Country | US
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Telephone | 407-922-4012
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Fax |
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Provider Business Mailing Address
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Address Line | 617 SUNSET VIEW DR
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City | DAVENPORT
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State | FL
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Zip | 33837-2668
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Country | US
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Telephone |
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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 |
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License Number State |
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