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General NPI Number Information
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NPI Number | 1609306455
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Entity Type | Individual
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Provider Name | MS. RACHAEL KATHERINE CANO
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Gender | Female
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 860 72ND AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-5816
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Country | US
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Telephone | 727-851-3122
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Fax |
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Provider Business Mailing Address
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Address Line | 860 72ND AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-5816
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Country | US
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Telephone | 727-851-3122
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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 | RBT-17-36996
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State | FL
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