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General NPI Number Information
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NPI Number | 1861905598
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Entity Type | Individual
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Provider Name | MR. ROBERT CHARLES TEE
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Gender | Male
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 11/16/2017
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Provider Practice Location Address
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Address Line | 15100 HUTCHISON RD STE 121
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City | TAMPA
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State | FL
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Zip | 33625-5512
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Country | US
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Telephone | 813-557-3533
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Fax |
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Provider Business Mailing Address
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Address Line | 625 18TH ST APT 3
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City | VERO BEACH
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State | FL
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Zip | 32960-5575
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Country | US
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Telephone | 772-563-7915
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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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