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General NPI Number Information
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NPI Number | 1710790647
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Entity Type | Individual
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Provider Name | DANIELA ALEJANDRA HURTADO MESA
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 4801 S UNIVERSITY DR STE 130
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City | DAVIE
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State | FL
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Zip | 33328-3832
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Country | US
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Telephone | 954-592-8659
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Fax | 561-516-8183
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Provider Business Mailing Address
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Address Line | 1401 SW 82ND TER
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-3516
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Country | US
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Telephone | 954-508-0352
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Fax | 561-516-8183
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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-24-401555
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License Number State | FL
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