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General NPI Number Information
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NPI Number | 1982149696
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Entity Type | Organization
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Legal Business Name | BILINGUAL ASSESSMENT INSTITUTE OF FLORIDA
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Dates
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Enumeration Date | 01/04/2017
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Last Update Date | 01/04/2017
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Provider Practice Location Address
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Address Line | 7031 FEATHER WOOD DR
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City | RUSKIN
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State | FL
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Zip | 33573-0105
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Country | US
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Telephone | 239-419-0065
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Fax |
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Provider Business Mailing Address
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Address Line | 7031 FEATHER WOOD DR
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City | RUSKIN
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State | FL
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Zip | 33573-0105
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Country | US
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Telephone | 239-419-0065
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Fax |
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Authorized Official
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Title or Position | LMHC
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Name | DR. RUBY P ITZEN
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Credential |
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Telephone | 239-410-0065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH 7536
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License Number State | FL
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