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General NPI Number Information
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NPI Number | 1740865070
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Entity Type | Individual
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Provider Name | MARCOS ANTONIO MORENO SANCHEZ
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Gender | Male
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 7376 LAKE WORTH RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-2529
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Country | US
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Telephone | 561-788-4086
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Fax |
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Provider Business Mailing Address
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Address Line | 504 SPRINGDALE CIR
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City | PALM SPRINGS
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State | FL
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Zip | 33461-1531
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Country | US
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Telephone | 786-580-2101
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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 | FL
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State | FL
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