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General NPI Number Information
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NPI Number | 1700372711
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Entity Type | Individual
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Provider Name | OLEYDIS IZNAGA
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Gender | Female
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 8461 LAKE WORTH RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-2474
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Country | US
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Telephone | 561-758-1120
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Fax |
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Provider Business Mailing Address
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Address Line | 4773 SPROUSE DR
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City | LAKE WORTH
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State | FL
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Zip | 33463-4002
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Country | US
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Telephone | 561-475-9885
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-85161
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State | FL
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