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General NPI Number Information
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NPI Number | 1851847172
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Entity Type | Individual
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Provider Name | EDUARDO MORALES RBT
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Gender | Male
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 08/28/2016
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Provider Practice Location Address
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Address Line | 14911 SW 80TH ST APT 217
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City | MIAMI
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State | FL
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Zip | 33193-3150
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Country | US
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Telephone | 786-308-0342
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Fax |
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Provider Business Mailing Address
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Address Line | 14911 SW 80 ST APT 217
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City | MIAMI
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State | FL
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Zip | 33193
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Country | US
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Telephone | 786-308-0342
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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 | RBT-16-12777
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | CNA-212196
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License Number State | FL
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