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General NPI Number Information
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NPI Number | 1790504629
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Entity Type | Individual
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Provider Name | JENNIFER ARGUELLES
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Gender | Female
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 11285 SW 211TH ST STE 207
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City | MIAMI
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State | FL
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Zip | 33189-2213
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Country | US
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Telephone | 786-366-2089
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Fax |
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Provider Business Mailing Address
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Address Line | 9119 NW 191ST TER
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City | HIALEAH
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State | FL
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Zip | 33018-8416
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Country | US
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Telephone | 954-773-1619
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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 | RBT24382744
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License Number State | FL
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