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General NPI Number Information
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NPI Number | 1629702436
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Entity Type | Individual
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Provider Name | MRS. DANIEL MARIE ALICE SAINT-LOUIS
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Gender | Female
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Dates
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Enumeration Date | 07/16/2022
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 11503 CANOPY LOOP
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City | MIROMAR LAKES
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State | FL
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Zip | 33913-9457
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Country | US
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Telephone | 305-917-3169
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Fax |
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Provider Business Mailing Address
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Address Line | 11503 CANOPY LOOP
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City | MIROMAR LAKES
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State | FL
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Zip | 33913-9457
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Country | US
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Telephone | 305-917-3169
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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 | 1862420
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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 | 1-23-67711
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License Number State | FL
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