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General NPI Number Information
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NPI Number | 1811441728
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Entity Type | Individual
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Provider Name | YAMARYS ALVAREZ TRABADA
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Gender | Female
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Dates
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Enumeration Date | 08/09/2016
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 1750 SE 18TH TER
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City | HOMESTEAD
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State | FL
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Zip | 33035-1928
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Country | US
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Telephone | 786-327-0835
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Fax |
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Provider Business Mailing Address
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Address Line | 750 NW 43RD AVE APT 408
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City | MIAMI
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State | FL
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Zip | 33126-3554
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Country | US
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Telephone |
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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 | 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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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BCBA-1-18-33414
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License Number State | FL
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