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General NPI Number Information
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NPI Number | 1962218222
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Entity Type | Individual
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Provider Name | JOEL PEREZ QUINONES RBT
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Gender | Male
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 2103 CORAL WAY STE 603
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City | MIAMI
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State | FL
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Zip | 33145-2656
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Country | US
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Telephone | 786-464-0353
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Fax | 786-483-8142
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Provider Business Mailing Address
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Address Line | 2304 W 68TH ST
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City | HIALEAH
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State | FL
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Zip | 33016-1806
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Country | US
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Telephone | 512-817-7021
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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-24-394058
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License Number State | FL
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