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General NPI Number Information
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NPI Number | 1609691518
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Entity Type | Individual
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Provider Name | YASEMIN RUKUN
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 5420 NW 33RD AVE STE 6
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-6387
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Country | US
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Telephone | 855-832-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 220 NE 19TH AVE # 2
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City | POMPANO BEACH
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State | FL
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Zip | 33060-6743
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Country | US
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Telephone | 954-383-1469
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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 | RBT-24-334403
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License Number State | FL
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