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General NPI Number Information
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NPI Number | 1629864327
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Entity Type | Individual
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Provider Name | LIUDMILA LEDON MANRESA
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Gender | Female
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 400 N ASHLEY DR STE 1900
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City | TAMPA
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State | FL
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Zip | 33602-4311
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Country | US
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Telephone | 813-573-5824
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Fax |
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Provider Business Mailing Address
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Address Line | 6322 PALMA DEL MAR BLVD S APT 506
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City | ST PETERSBURG
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State | FL
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Zip | 33715-1253
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Country | US
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Telephone | 813-956-2563
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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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