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General NPI Number Information
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NPI Number | 1811739600
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Entity Type | Individual
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Provider Name | YNESELIA MARINA RODRIGUEZ ALMARZA
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Gender | Female
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Dates
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Enumeration Date | 06/11/2024
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 14221 SW 120TH ST STE 118
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City | MIAMI
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State | FL
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Zip | 33186-7463
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Country | US
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Telephone | 786-391-0695
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Fax | 305-602-9265
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Provider Business Mailing Address
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Address Line | 726 W PALM DR APT 503
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City | FLORIDA CITY
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State | FL
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Zip | 33034-3285
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Country | US
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Telephone | 786-307-5757
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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-23-315725
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License Number State | FL
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