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General NPI Number Information
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NPI Number | 1164666590
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Entity Type | Individual
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Provider Name | JESSICA S D'ORAZIO M.ED., CDS, BCBA
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Gender | Female
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Dates
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Enumeration Date | 04/29/2009
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 2360 ROUTE 33 STE 112
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City | ROBBINSVILLE
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State | NJ
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Zip | 08691-1416
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Country | US
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Telephone | 201-370-1782
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Fax |
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Provider Business Mailing Address
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Address Line | 2360 ROUTE 33 STE 112
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City | ROBBINSVILLE
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State | NJ
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Zip | 08691-1416
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Country | US
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Telephone | 201-370-1782
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 602311
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-17-27803
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License Number State | NJ
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