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General NPI Number Information
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NPI Number | 1841915915
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Entity Type | Individual
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Provider Name | CHIARA CRISTINA HERRERA
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Gender | Female
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1991 DAVENPORT BLVD
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City | DAVENPORT
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State | FL
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Zip | 33837-9201
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Country | US
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Telephone | 863-379-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 300 PAWNEE TRL
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City | KISSIMMEE
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State | FL
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Zip | 34747-1527
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Country | US
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Telephone | 321-682-7166
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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