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General NPI Number Information
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NPI Number | 1922755271
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Entity Type | Individual
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Provider Name | MICHELLE RUIZANCHEZ
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Gender | Female
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 4831 CORONADO PKWY
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City | CAPE CORAL
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State | FL
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Zip | 33904-9516
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Country | US
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Telephone | 239-788-4686
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Fax |
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Provider Business Mailing Address
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Address Line | 4783 MIRAGE BAY CIR UNIT 212
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City | FORT MYERS
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State | FL
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Zip | 33966-6649
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Country | US
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Telephone | 786-367-4588
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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 |
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License Number State |
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