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General NPI Number Information
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NPI Number | 1619436268
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Entity Type | Individual
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Provider Name | MELISA C ROQUE
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Gender | Female
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Dates
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Enumeration Date | 03/13/2019
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Last Update Date | 03/13/2019
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Provider Practice Location Address
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Address Line | 450 N PARK RD STE 400
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6918
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Country | US
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Telephone | 954-925-3191
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Fax |
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Provider Business Mailing Address
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Address Line | 20001 NW 52ND CT
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-4692
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Country | US
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Telephone | 786-452-2422
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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-19-80470
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License Number State | FL
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