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1285325621

NPI Code Detail

MEDICARE: MARIAM CAPIN

MEDICARE: MARIAM CAPIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-23-268799	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285325621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAM CAPIN

Provider Business Mailing Address
First Line	:	2522 W 72ND PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-6507
Country	:	US
Telephone Number	:	786-304-5782
Fax Number	:

Provider Business Practice Location Address
First Line	:	2522 W 72ND PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-6507
Country	:	US
Telephone Number	:	786-304-5782
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2023
Last Update Date	:	05/17/2023

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Directions to “ MARIAM CAPIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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