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General NPI Number Information
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NPI Number | 1144834078
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Entity Type | Individual
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Provider Name | BOBBI JEAN OAKES MED, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 09/08/2020
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 10803 MAIN ST STE 700
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City | FAIRFAX
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State | VA
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Zip | 22030-4728
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Country | US
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Telephone | 888-574-6007
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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 | 20187-9380
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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 |
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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 | 1-20-43929
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License Number State | VA
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