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General NPI Number Information
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NPI Number | 1013340207
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Entity Type | Individual
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Provider Name | LINDSAY LAUBACHER BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 08/12/2013
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Provider Practice Location Address
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Address Line | 7200 DENTON HWY
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City | WATAUGA
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State | TX
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Zip | 76148-1202
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Country | US
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Telephone | 817-691-3283
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Fax | 817-249-2215
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Provider Business Mailing Address
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Address Line | 7200 DENTON HIGHWAY
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City | KELLER
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State | TX
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Zip | 76148
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Country | US
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Telephone | 817-691-3283
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Fax | 817-249-2215
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1-12-10067
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License Number State |
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