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General NPI Number Information
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NPI Number | 1609429562
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Entity Type | Individual
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Provider Name | ROBERTO C FEIJO
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Gender | Male
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Dates
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Enumeration Date | 07/19/2019
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 1933 NW 34TH ST
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City | MIAMI
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State | FL
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Zip | 33142-5417
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Country | US
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Telephone | 786-715-3109
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Fax |
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Provider Business Mailing Address
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Address Line | 1933 NW 34TH ST
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City | MIAMI
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State | FL
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Zip | 33142-5417
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-24-15510
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License Number State | FL
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