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General NPI Number Information
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NPI Number | 1659943181
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Entity Type | Individual
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Provider Name | WILLIAM HERNANDEZ BLONDIN BCBA
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Gender | Male
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 8300 NW 53RD ST STE 350
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City | MIAMI
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State | FL
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Zip | 33166-7712
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Country | US
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Telephone | 305-776-0728
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Fax | 561-828-3124
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Provider Business Mailing Address
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Address Line | 150 NW 60TH AVE
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City | MIAMI
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State | FL
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Zip | 33126-4756
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Country | US
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Telephone | 786-308-8207
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Fax | 561-828-3124
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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 | BCABA-0-23-14407
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-21-159459
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-23-69460
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License Number State | FL
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