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General NPI Number Information
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NPI Number | 1881360162
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Entity Type | Individual
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Provider Name | JANNY RODRIGUEZ LEDESMA
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Gender | Female
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 777 N NOB HILL RD
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City | PLANTATION
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State | FL
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Zip | 33324-1028
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Country | US
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Telephone | 754-322-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 500 NE 2ND ST APT 328
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City | DANIA
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State | FL
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Zip | 33004-3374
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Country | US
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Telephone | 786-657-5881
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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 | 1881360162
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License Number State | FL
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