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General NPI Number Information
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NPI Number | 1053978973
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Entity Type | Individual
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Provider Name | STEPHANIE KARIUKI
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Gender | Female
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Dates
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Enumeration Date | 05/27/2019
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Last Update Date | 05/27/2019
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Provider Practice Location Address
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Address Line | 80 WASHINGTON ST
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City | NORWELL
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State | MA
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Zip | 02061-1740
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Country | US
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Telephone | 781-878-3614
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Fax |
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Provider Business Mailing Address
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Address Line | 495 TEMPLE ST
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City | WHITMAN
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State | MA
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Zip | 02382-1004
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Country | US
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Telephone | 989-274-4990
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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 |
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License Number State |
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