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General NPI Number Information
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NPI Number | 1669035663
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Entity Type | Individual
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Provider Name | GABRIELLA MERCEDES COMAS-PEREZ
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Gender | Female
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 2955 CORAL WAY
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City | CORAL GABLES
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State | FL
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Zip | 33145-3205
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Country | US
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Telephone | 954-828-0425
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Fax |
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Provider Business Mailing Address
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Address Line | 18763 SW 83RD PL
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City | CUTLER BAY
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State | FL
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Zip | 33157-7302
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Country | US
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Telephone | 786-222-8614
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 12369579
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License Number State | FL
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