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General NPI Number Information
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NPI Number | 1073013223
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Entity Type | Individual
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Provider Name | CARMEN P LADERA M.S E.D BEHAVIORIST
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Gender | Female
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 3203 BRICK CHURCH PIKE
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City | NASHVILLE
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State | TN
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Zip | 37207
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Country | US
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Telephone | 615-521-2446
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4060
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City | BRENTWOOD
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State | TN
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Zip | 37024-4060
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Country | US
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Telephone |
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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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