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General NPI Number Information
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NPI Number | 1174925739
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Entity Type | Individual
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Provider Name | DAWN OLIVEIRA-MAXFIELD BCBA
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Gender | Female
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Dates
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Enumeration Date | 09/25/2014
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 39510 PASEO PADRE PKWY STE 190
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City | FREMONT
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State | CA
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Zip | 94538-4716
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Country | US
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Telephone | 559-225-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 35947 PLUMERIA WAY
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City | FREMONT
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State | CA
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Zip | 94536-2670
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Country | US
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Telephone | 510-364-7964
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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 |
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License Number State |
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