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General NPI Number Information
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NPI Number | 1790296424
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Entity Type | Individual
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Provider Name | MERCEDES C GARCIA FERRERA
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Gender | Female
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 11902 SW 196TH TER
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City | MIAMI
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State | FL
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Zip | 33177-4361
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Country | US
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Telephone | 786-244-2426
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Fax |
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Provider Business Mailing Address
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Address Line | 13404 SW 28TH ST
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City | MIAMI
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State | FL
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Zip | 33175-7107
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Country | US
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Telephone | 786-344-2426
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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 | RBT-19-91946
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License Number State | FL
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