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General NPI Number Information
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NPI Number | 1073199857
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Entity Type | Individual
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Provider Name | ANNA CLAIRE WALDROP M.S., BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 403 DOCTORS DR
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City | NEW ALBANY
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State | MS
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Zip | 38652-3110
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Country | US
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Telephone | 662-539-7129
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Fax | 662-539-7298
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Provider Business Mailing Address
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Address Line | 403 DOCTORS DR
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City | NEW ALBANY
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State | MS
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Zip | 38652-3110
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Country | US
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Telephone | 662-539-7129
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Fax | 662-539-7298
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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 | 200026
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License Number State | MS
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