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NPI 1689561326

NPI 1689561326 : MRS. KENIA DURAN : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1689561326
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. KENIA DURAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/23/2025
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    Last Update Date     |    06/23/2025
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Provider Practice Location Address
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    Address Line         |    2433 NW 54TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33142-2945
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    Country              |    US
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    Telephone            |    786-353-2267
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1939 NE 180TH ST 
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    City                 |    NORTH MIAMI BEACH
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    State                |    FL
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    Zip                  |    33162-1611
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    Country              |    US
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    Telephone            |    954-591-9085
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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-25-436437
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    License Number State |    FL
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