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General NPI Number Information
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NPI Number | 1780274498
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Entity Type | Individual
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Provider Name | FATIMA GHAZI
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Gender | Female
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 23257 STATE ROAD 7 STE 204
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City | BOCA RATON
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State | FL
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Zip | 33428-5406
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Country | US
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Telephone | 561-542-0106
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Fax |
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Provider Business Mailing Address
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Address Line | 10905 NW 41ST DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-7761
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Country | US
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Telephone | 561-542-0106
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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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