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General NPI Number Information
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NPI Number | 1003366154
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Entity Type | Organization
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Legal Business Name | ABRITE, LLC
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Dates
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Enumeration Date | 10/12/2016
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Last Update Date | 10/12/2016
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Provider Practice Location Address
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Address Line | 749 37TH AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95062-5124
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Country | US
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Telephone | 844-334-7021
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Fax | 888-334-7021
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Provider Business Mailing Address
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Address Line | 749 37TH AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95062-5124
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Country | US
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Telephone | 844-334-7021
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Fax | 888-334-7021
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Authorized Official
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Title or Position | DIRECTOR OF ADMIN AND FINANCE
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Name | JOHN FREDERICK
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Credential |
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Telephone | 831-454-6762
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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 | 1-15-19102
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License Number State | CA
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