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General NPI Number Information
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NPI Number | 1720962210
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Entity Type | Individual
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Provider Name | BRIANNA DIAZ
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 8491 NW 17TH ST
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City | DORAL
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State | FL
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Zip | 33126-1025
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Country | US
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Telephone | 554-230-5456
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Fax |
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Provider Business Mailing Address
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Address Line | 318 E 6TH ST APT 202
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City | HIALEAH
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State | FL
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Zip | 33010-6811
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Country | US
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Telephone | 786-678-7437
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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 | 25-460014
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License Number State | FL
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