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General NPI Number Information
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NPI Number | 1922890292
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Entity Type | Individual
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Provider Name | PATRICIA VILLAHERMOSA VELASQU
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Gender | Female
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 28410 BONITA CROSSINGS BLVD UNIT 150
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-3217
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Country | US
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Telephone | 239-451-7163
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Fax | 239-310-2045
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Provider Business Mailing Address
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Address Line | 17174 CURRY PRESERVE DR UNIT 8205
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City | PUNTA GORDA
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State | FL
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Zip | 33982-5256
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Country | US
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Telephone | 239-355-0751
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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-25-421299
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License Number State | FL
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