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General NPI Number Information
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NPI Number | 1821879735
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Entity Type | Individual
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Provider Name | DAYLET ARRIOLA LA ROSA
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Gender | Female
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 2500 QUANTUM LAKES DR STE 203
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8323
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Country | US
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Telephone | 561-409-8240
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Fax | 561-486-3072
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Provider Business Mailing Address
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Address Line | 918 GREEN ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33405-3002
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Country | US
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Telephone | 561-570-0982
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Fax | 561-486-3072
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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-23-302078
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License Number State | FL
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