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General NPI Number Information
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NPI Number | 1124584065
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Entity Type | Organization
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Legal Business Name | CENTER FOR AUTISM INTERVENTION AND ADVOCACY
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Dates
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Enumeration Date | 02/15/2019
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Last Update Date | 02/15/2019
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Provider Practice Location Address
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Address Line | 1972 CLARK AVE
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City | ALLIANCE
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State | OH
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Zip | 44601-3929
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Country | US
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Telephone | 330-823-2557
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Fax |
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Provider Business Mailing Address
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Address Line | 313 38TH ST NW
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City | CANTON
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State | OH
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Zip | 44709-1522
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Country | US
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Telephone | 330-823-2557
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KRISTINE TURKO
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Credential | PHD
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Telephone | 330-257-2909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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