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General NPI Number Information
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NPI Number | 1609377860
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Entity Type | Individual
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Provider Name | ANTONIO MORALES
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Gender | Male
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Dates
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Enumeration Date | 02/23/2018
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 9220 SW 43RD TER
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City | MIAMI
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State | FL
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Zip | 33165-5215
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Country | US
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Telephone | 305-890-7823
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Fax |
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Provider Business Mailing Address
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Address Line | 9220 SW 43RD TER
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City | MIAMI
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State | FL
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Zip | 33165-5215
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Country | US
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Telephone | 305-890-7823
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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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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CCM100265-AC
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License Number State | FL
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Taxonomy #3
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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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