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General NPI Number Information
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NPI Number | 1932087558
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Entity Type | Individual
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Provider Name | JAVIER J. SEGURA PINO
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Gender | Male
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 9719 S DIXIE HWY STE 6
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City | PINECREST
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State | FL
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Zip | 33156-2834
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Country | US
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Telephone | 786-564-9660
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Fax |
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Provider Business Mailing Address
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Address Line | 102 ENGLE RD
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City | LAKE WORTH
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State | FL
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Zip | 33461-4102
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Country | US
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Telephone | 786-513-4081
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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-25-4557663
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License Number State | FL
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