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General NPI Number Information
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NPI Number | 1073167565
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Entity Type | Individual
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Provider Name | SHANA MICHELE ORLANSKY M.ED, BCBA
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Gender | Female
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Dates
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Enumeration Date | 08/01/2019
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 8 S MICHIGAN AVE STE 1700
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City | CHICAGO
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State | IL
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Zip | 60603-3353
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Country | US
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Telephone | 312-346-6230
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Fax |
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Provider Business Mailing Address
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Address Line | 2637 N CALIFORNIA AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60647-1733
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Country | US
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Telephone | 504-258-1532
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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 | 1-18-30633
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License Number State |
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