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General NPI Number Information
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NPI Number | 1598058570
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Entity Type | Individual
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Provider Name | ASIEL HERRERA
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Gender | Male
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 9600 NW 25TH ST STE PH
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City | DORAL
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State | FL
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Zip | 33172-1416
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Country | US
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Telephone | 305-597-3861
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Fax | 305-597-3863
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Provider Business Mailing Address
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Address Line | 9600 NW 25TH ST STE PH
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City | DORAL
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State | FL
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Zip | 33172-1416
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Country | US
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Telephone | 305-597-3861
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Fax | 305-597-3863
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-13-5298
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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 | 1-22-61620
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License Number State | FL
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