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General NPI Number Information
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NPI Number | 1669352100
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Entity Type | Individual
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Provider Name | YURIMA DOMINGUEZ CARDONA
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Gender | Female
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 1480 S MILITARY TRL STE 7&8
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-9187
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Country | US
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Telephone | 561-653-1245
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Fax |
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Provider Business Mailing Address
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Address Line | 1619 JULIE TONIA DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-5516
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Country | US
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Telephone | 561-301-2891
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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 | RBT-25-461600
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License Number State | FL
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