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General NPI Number Information
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NPI Number | 1821369190
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Entity Type | Individual
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Provider Name | AUDREY LYNN AMADEO MS
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Gender | Female
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 3520 OAKS WAY APT 904
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City | POMPANO BEACH
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State | FL
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Zip | 33069
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Country | US
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Telephone | 305-807-1909
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Fax |
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Provider Business Mailing Address
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Address Line | 19321 W SAINT ANDREWS DR
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City | HIALEAH
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State | FL
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Zip | 33015-2337
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Country | US
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Telephone | 305-215-1773
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Fax | 954-577-7780
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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 | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-19-37799
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License Number State | FL
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