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General NPI Number Information
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NPI Number | 1891454203
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Entity Type | Organization
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Legal Business Name | OUR PUZZLE LLC
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 300 BUTLER ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-6006
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Country | US
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Telephone | 130-589-6575
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Fax |
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Provider Business Mailing Address
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Address Line | 11601 BISCAYNE BLVD STE 302
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City | MIAMI
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State | FL
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Zip | 33181-3151
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Country | US
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Telephone | 954-593-5521
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REINALDO BERROA JR.
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Credential |
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Telephone | 954-593-5521
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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 |
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License Number State |
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