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General NPI Number Information
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NPI Number | 1922817865
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Entity Type | Organization
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Legal Business Name | ESSENTIAL WELLNESS OF SOUTH FLORIDA INC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 7975 NW 155TH ST STE B
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5879
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Country | US
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Telephone | 754-283-3216
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Fax | 305-402-3232
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Provider Business Mailing Address
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Address Line | 7975 NW 155TH ST STE B
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5879
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Country | US
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Telephone | 754-283-3216
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Fax | 305-402-3232
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Authorized Official
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Title or Position | CEO
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Name | YESENIA ASPURO
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Credential |
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Telephone | 754-283-3216
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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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