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General NPI Number Information
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NPI Number | 1104186121
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Entity Type | Organization
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Legal Business Name | COMPASS SOLUTIONS FOR AUTISM
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 3919 ASHFORD DUNWOODY RD NE
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City | ATLANTA
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State | GA
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Zip | 30319-1834
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Country | US
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Telephone | 877-504-7445
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Fax | 866-201-4406
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Provider Business Mailing Address
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Address Line | 3919 ASHFORD DUNWOODY RD NE
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City | ATLANTA
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State | GA
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Zip | 30319-1834
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Country | US
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Telephone | 877-504-7445
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Fax | 866-201-4406
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. COBY JOHN LUND
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Credential | PH.D.
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Telephone | 877-504-7445
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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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