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General NPI Number Information
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NPI Number | 1801218748
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Entity Type | Individual
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Provider Name | JANINE A. TESTA M.S.
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Gender | Female
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Dates
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Enumeration Date | 01/13/2014
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 2400 SE FEDERAL HWY STE 220
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City | STUART
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State | FL
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Zip | 34994-6826
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Country | US
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Telephone | 772-678-6704
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Fax | 772-675-9100
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Provider Business Mailing Address
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Address Line | 2400 SE FEDERAL HWY STE 220
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City | STUART
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State | FL
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Zip | 34994-6826
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Country | US
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Telephone | 772-678-6704
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Fax | 772-675-9100
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-18-58690
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License Number State | FL
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