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General NPI Number Information
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NPI Number | 1598494379
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Entity Type | Individual
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Provider Name | LUIS F SOTO CHAVARRIA RBT
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Gender | Male
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 5241 32ND AVE SW
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City | NAPLES
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State | FL
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Zip | 34116-8117
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Country | US
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Telephone | 239-276-2964
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Fax | 855-933-2614
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Provider Business Mailing Address
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Address Line | 5241 32ND AVE SW
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City | NAPLES
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State | FL
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Zip | 34116-8117
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Country | US
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Telephone | 239-692-4799
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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 | BACB751587
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License Number State | FL
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