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NPI Code Detail

MEDICARE: AMAL TAHRAOUI

MEDICARE: AMAL TAHRAOUI
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
1106S00000XBehavior Technician

Other Identifiers

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

General Provider Information

NPI Number : 1841863909
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAL TAHRAOUI
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD STE 230
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-854-1116
Fax Number : 305-846-9711
Provider Business Practice Location Address
First Line : 1822 SPRING GARDEN ST SIDE 2
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-4138
Country : US
Telephone Number : 844-244-1818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2021
Last Update Date : 07/19/2021

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Directions to “ AMAL TAHRAOUI ” Practice Location

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