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General NPI Number Information
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NPI Number | 1689172934
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Entity Type | Individual
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Provider Name | ESTEFANIA BERRIOS-QUINONES
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Gender | Female
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 07/21/2018
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Provider Practice Location Address
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Address Line | 4063 N GOLDENROD RD STE 210
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City | WINTER PARK
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State | FL
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Zip | 32792
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Country | US
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Telephone | 407-624-4002
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Fax | 866-920-4210
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Provider Business Mailing Address
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Address Line | PO BOX 5348
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City | WINTER PARK
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State | FL
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Zip | 32793-5348
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Country | US
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Telephone | 407-624-4002
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Fax | 866-920-4210
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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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