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General NPI Number Information
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NPI Number | 1942886742
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Entity Type | Individual
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Provider Name | JOHN RALPH REMY
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Gender | Male
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 644 FERGUSON DR STE 200
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City | ORLANDO
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State | FL
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Zip | 32805-1023
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Country | US
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Telephone | 831-204-7854
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Fax | 407-965-4480
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Provider Business Mailing Address
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Address Line | 7547 PARK PROMENADE DR APT 1518
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City | WINTER PARK
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State | FL
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Zip | 32792-8627
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Country | US
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Telephone | 407-860-4994
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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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