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General NPI Number Information
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NPI Number | 1669055430
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Entity Type | Individual
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Provider Name | JUDITH CALVERT RBT
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Gender | Female
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 13195 SW 134TH ST STE 101-103
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City | MIAMI
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State | FL
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Zip | 33186-4499
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Country | US
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Telephone | 786-227-6830
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Fax | 786-524-2413
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Provider Business Mailing Address
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Address Line | 2360 CORAL WAY APT 8
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City | CORAL GABLES
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State | FL
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Zip | 33145-3529
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Country | US
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Telephone | 786-575-7022
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11022947
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11022947
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11022947
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-24-77022
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9540325
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-21-152014
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License Number State | FL
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