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General NPI Number Information
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NPI Number | 1093309528
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Entity Type | Individual
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Provider Name | DANIEL BALLINGER-HIDALGO QASP-S
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Gender | Male
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 359 INVERNESS DR S
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5842
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Country | US
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Telephone | 833-646-3222
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Fax |
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Provider Business Mailing Address
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Address Line | 6915 E MAPLEWOOD PL
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City | CENTENNIAL
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State | CO
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Zip | 80111-4559
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Country | US
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Telephone | 303-669-0656
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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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