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General NPI Number Information
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NPI Number | 1699250340
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Entity Type | Individual
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Provider Name | RASHAYNE E DALEY
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Gender | Male
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 09/28/2018
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Provider Practice Location Address
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Address Line | 123 NW 13TH ST STE 305B
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City | BOCA RATON
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State | FL
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Zip | 33432-1645
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Country | US
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Telephone | 786-230-6591
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 SUMMIT PINES BLVD APT 921
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-5104
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Country | US
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Telephone | 516-406-7455
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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 | 687031
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License Number State | FL
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