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General NPI Number Information
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NPI Number | 1871339101
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Entity Type | Individual
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Provider Name | ARLETTIS GONZALEZ DE LA PAZ
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Gender | Female
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Dates
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Enumeration Date | 07/05/2024
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 17064 NW 56TH CT # TH
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-3918
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Country | US
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Telephone | 786-306-7191
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Fax |
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Provider Business Mailing Address
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Address Line | 777 NW 72ND AVE STE 1083
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City | MIAMI
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State | FL
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Zip | 33126-3176
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Country | US
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Telephone | 305-342-7643
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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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