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General NPI Number Information
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NPI Number | 1891678710
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Entity Type | Individual
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Provider Name | SVETLANA KALESHNIK
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 1626 RIO COVE CT
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City | ORLANDO
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State | FL
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Zip | 32825-8315
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Country | US
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Telephone | 407-431-0520
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Fax |
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Provider Business Mailing Address
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Address Line | 49 PRESIDENTIAL LN
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City | PALM COAST
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State | FL
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Zip | 32164-4731
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Country | US
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Telephone |
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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-25-457100
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License Number State | FL
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