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General NPI Number Information
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NPI Number | 1972836393
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Entity Type | Individual
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Provider Name | SHIRLY OSTRO GILAD BCBA, RN, FNP, MS
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Gender | Female
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 400 PALOMA AVE
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City | BOCA RATON
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State | FL
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Zip | 33486-3552
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Country | US
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Telephone | 561-504-6669
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Fax | 561-338-5613
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Provider Business Mailing Address
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Address Line | 400 PALOMA AVE
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City | BOCA RATON
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State | FL
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Zip | 33486-3552
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Country | US
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Telephone | 561-504-6669
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Fax | 561-338-5613
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-08-4733
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License Number State | FL
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