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General NPI Number Information
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NPI Number | 1881472751
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Entity Type | Individual
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Provider Name | MELISSA CARVAJAL RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 350 FAIRWAY DR STE 101
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-1834
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Country | US
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Telephone | 877-418-2978
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Fax | 866-500-2186
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Provider Business Mailing Address
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Address Line | 11392 SW 65TH ST
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City | MIAMI
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State | FL
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Zip | 33173-1975
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Country | US
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Telephone | 868-654-2257
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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 | RBT-23-297949
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License Number State | FL
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