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General NPI Number Information
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NPI Number | 1033938352
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Entity Type | Individual
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Provider Name | ABBY R ARMAGOST
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Gender | Female
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 4688 ONTARIO MILLS PKWY
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City | ONTARIO
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State | CA
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Zip | 91764-5104
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Country | US
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Telephone | 657-242-2139
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Fax |
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Provider Business Mailing Address
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Address Line | 12710 3RD ST SPC 41
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City | YUCAIPA
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State | CA
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Zip | 92399-4502
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Country | US
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Telephone | 909-747-5052
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Fax |
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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 | Y5266615
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License Number State | CA
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