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General NPI Number Information
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NPI Number | 1710650825
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Entity Type | Individual
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Provider Name | FRANCHESCA M FERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 1522 N 24TH AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33020-3063
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Country | US
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Telephone | 954-297-2411
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Fax |
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Provider Business Mailing Address
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Address Line | 2830 NW 119TH AVE
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City | SUNRISE
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State | FL
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Zip | 33323-1769
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Country | US
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Telephone | 954-297-2411
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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-21-174245
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License Number State | FL
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