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General NPI Number Information
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NPI Number | 1033000732
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Entity Type | Individual
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Provider Name | DELACEY ANDRADE
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Gender | Male
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 530 OFFALY LN
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City | ATLANTA
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State | GA
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Zip | 30349-2773
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Country | US
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Telephone | 404-838-7010
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Fax | 404-592-6813
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Provider Business Mailing Address
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Address Line | 530 OFFALY LN
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City | ATLANTA
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State | GA
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Zip | 30349-2773
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Country | US
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Telephone | 404-838-7010
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Fax | 404-838-7010
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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