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General NPI Number Information
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NPI Number | 1174776132
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Entity Type | Individual
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Provider Name | DAWN K WISNIEWSKI-NELSON BCABA
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Gender | Female
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Dates
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Enumeration Date | 11/03/2008
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Last Update Date | 07/11/2016
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Provider Practice Location Address
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Address Line | 4160 CENTRAL SARASOTA PKWY APT 621
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City | SARASOTA
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State | FL
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Zip | 34238-6616
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Country | US
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Telephone | 941-536-6984
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Fax |
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Provider Business Mailing Address
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Address Line | 4160 CENTRAL SARASOTA PKWY APT 621
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City | SARASOTA
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State | FL
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Zip | 34238-6616
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Country | US
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Telephone | 941-536-6984
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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 | 0-08-2593
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License Number State | FL
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