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General NPI Number Information
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NPI Number | 1083243224
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Entity Type | Organization
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Legal Business Name | HI5 ABA PROCESSING INC
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 5306 LEE HWY
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City | WARRENTON
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State | VA
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Zip | 20187-9377
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Country | US
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Telephone | 571-212-6627
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Fax |
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Provider Business Mailing Address
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Address Line | 5306 LEE HWY
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City | WARRENTON
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State | VA
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Zip | 20187-9377
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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 | ADMINISTRATIVE DIRECTOR
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Name | SARA LUCAS
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Credential |
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Telephone | 571-991-6441
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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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