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NPI Code Detail

MEDICARE: DYLAN-JOHN LEGASPI BUHAIN

MEDICARE: DYLAN-JOHN LEGASPI BUHAIN
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
1225CX0006XOrientation and Mobility Training Rehabilitation Counselor21656AZ
2225CA2400XAssistive Technology Practitioner Rehabilitation Counselor23163AZ

General Provider Information

NPI Number : 1851107320
Entity Type Code : Individual
Provider Name (Legal Business Name) : DYLAN-JOHN LEGASPI BUHAIN
Provider Business Mailing Address
First Line : 13800 VETERANS WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7401
Country : US
Telephone Number : 407-631-1000
Fax Number :
Provider Business Practice Location Address
First Line : 13800 VETERANS WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7401
Country : US
Telephone Number : 407-631-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2024
Last Update Date : 12/09/2024

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