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General NPI Number Information
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NPI Number | 1780260091
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Entity Type | Individual
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Provider Name | NUVIA AGUILERA
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Gender | Female
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 8100 NW 155TH ST STE 200
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5865
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Country | US
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Telephone | 786-479-0029
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Fax |
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Provider Business Mailing Address
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Address Line | 599 E 52ND ST
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City | HIALEAH
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State | FL
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Zip | 33013-1649
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Country | US
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Telephone | 305-915-5067
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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 | 20-143520
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License Number State | FL
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