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General NPI Number Information
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NPI Number | 1033959663
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Entity Type | Organization
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Legal Business Name | ACCELERATE BX LLC
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 1429 SCHOAL CREEK DR
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City | SAINT PETERS
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State | MO
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Zip | 63366-3194
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Country | US
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Telephone | 770-866-3909
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Fax |
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Provider Business Mailing Address
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Address Line | 8461 WINDING TRL
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City | LAUREL
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State | MD
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Zip | 20724-1435
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Country | US
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Telephone | 770-866-3909
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | NATALIE PARKS
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Credential | PHD
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Telephone | 770-866-3909
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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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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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