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General NPI Number Information
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NPI Number | 1952275216
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Entity Type | Individual
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Provider Name | LORENA CAROLA CALVO
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Gender | Male
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 3829 HOLLYWOOD BLVD STE D
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6790
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Country | US
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Telephone | 954-367-3600
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Fax | 954-367-3601
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Provider Business Mailing Address
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Address Line | 910 BAY DR APT 32
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City | MIAMI BEACH
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State | FL
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Zip | 33141-5640
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Country | US
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Telephone | 305-632-0186
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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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