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NPI 1679209332

NPI 1679209332 : DEVYN ANN DENBY : WEST MELBOURNE, FL

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General NPI Number Information
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    NPI Number           |    1679209332
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    Entity Type          |    Individual 
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    Provider Name        |    DEVYN ANN DENBY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/26/2022
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    Last Update Date     |    07/26/2022
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Provider Practice Location Address
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    Address Line         |    1912 DAIRY RD 
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    City                 |    WEST MELBOURNE
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    State                |    FL
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    Zip                  |    32904-4046
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    Country              |    US
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    Telephone            |    321-413-3366
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    Fax                  |    321-306-2880
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Provider Business Mailing Address
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    Address Line         |    2445 WOLF CREEK DR 
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    City                 |    MELBOURNE
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    State                |    FL
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    Zip                  |    32935-2138
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    Country              |    US
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    Telephone            |    321-693-0778
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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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