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General NPI Number Information
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NPI Number | 1720679699
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Entity Type | Individual
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Provider Name | ESTELE LALIME
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Gender | Female
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 05/13/2022
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Provider Practice Location Address
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Address Line | 33905 STATE ROAD 54
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-9100
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Country | US
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Telephone | 813-358-7125
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Fax |
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Provider Business Mailing Address
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Address Line | 1311 BAYWATCH LOOP APT 201
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City | TAMPA
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State | FL
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Zip | 33612-5664
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Country | US
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Telephone | 813-395-4506
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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 |
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License Number State |
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