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General NPI Number Information
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NPI Number | 1679332654
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Entity Type | Individual
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Provider Name | MRS. CLARISA NAVARRO MOLINA
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Gender | Female
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Dates
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Enumeration Date | 03/13/2024
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 5100 W COPANS RD STE 310
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City | MARGATE
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State | FL
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Zip | 33063-7700
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Country | US
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Telephone | 954-825-3317
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Fax |
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Provider Business Mailing Address
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Address Line | 9101 SUNRISE LAKES BLVD APT 202
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City | SUNRISE
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State | FL
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Zip | 33322-1332
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Country | US
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Telephone | 301-806-3090
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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-24-333155
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License Number State | FL
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