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General NPI Number Information
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NPI Number | 1912496647
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Entity Type | Individual
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Provider Name | KARLA MONTOYA
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Gender | Female
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 5400 S UNIVERSITY DR STE 502
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City | DAVIE
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State | FL
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Zip | 33328-5313
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Country | US
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Telephone | 954-830-1240
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Fax |
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Provider Business Mailing Address
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Address Line | 2071 NW 188TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3827
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Country | US
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Telephone | 954-830-1240
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-48160
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License Number State | FL
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