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General NPI Number Information
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NPI Number | 1760071732
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Entity Type | Individual
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Provider Name | ROSA MARIA MERCADO SOLIS
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Gender | Female
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 2400 NW 54TH ST
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City | MIAMI
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State | FL
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Zip | 33142-2946
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Country | US
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Telephone | 786-587-4524
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Fax |
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Provider Business Mailing Address
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Address Line | 1400NW 79ST F-608
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City | MIAMI
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State | FL
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Zip | 33147
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Country | US
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Telephone | 786-710-3769
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | RBT-20-147954
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License Number State | CO
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