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General NPI Number Information
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NPI Number | 1700367604
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Entity Type | Individual
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Provider Name | LILINE NELSON BEHAVIOR HEALTH
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Gender | Female
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 08/28/2018
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Provider Practice Location Address
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Address Line | 2604 NW 3RD AVE APT 227
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City | WILTON MANORS
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State | FL
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Zip | 33311-3047
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Country | US
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Telephone | 954-240-9324
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Fax |
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Provider Business Mailing Address
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Address Line | 2604 NW 3RD AVE APT 227
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City | WILTON MANORS
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State | FL
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Zip | 33311-3047
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Country | US
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Telephone | 954-240-9324
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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