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General NPI Number Information
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NPI Number | 1205372646
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Entity Type | Individual
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Provider Name | ABBY E LANG M.A., BCBA , COBA
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Gender | Female
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 36711 AMERICAN WAY
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City | AVON
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State | OH
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Zip | 44011-4062
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Country | US
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Telephone | 216-282-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 1483 ROSEWOOD AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-3733
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Country | US
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Telephone | 330-931-9582
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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 | 1-22-62788
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License Number State | OH
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