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General NPI Number Information
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NPI Number | 1902756331
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Entity Type | Individual
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Provider Name | EDWIN ORDUY
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Gender | Male
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 4121 NW 5TH ST STE 216
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City | PLANTATION
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State | FL
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Zip | 33317-2120
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Country | US
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Telephone | 754-779-0656
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 S DIXIE HWY W APT 307
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City | POMPANO BEACH
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State | FL
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Zip | 33060-8857
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Country | US
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Telephone | 954-868-8515
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State | FL
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