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General NPI Number Information
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NPI Number | 1790310415
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Entity Type | Individual
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Provider Name | AMY CAROLINA VIZHNAY
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Gender | Female
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Dates
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Enumeration Date | 03/04/2020
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 301 N MAIN ST STE 2434
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City | WINSTON SALEM
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State | NC
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Zip | 27101-3885
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Country | US
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Telephone | 336-510-7910
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Fax | 336-510-9974
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Provider Business Mailing Address
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Address Line | 4817 EHRLICH RD
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City | TAMPA
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State | FL
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Zip | 33624-2037
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Country | US
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Telephone | 877-823-4283
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Fax | 352-332-8589
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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 |
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License Number State |
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