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General NPI Number Information
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NPI Number | 1205692167
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Entity Type | Individual
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Provider Name | KACIE KRONTZ RBT
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Gender | Female
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 1742 GEORGETOWN RD STE AANDB
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City | HUDSON
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State | OH
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Zip | 44236-5006
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Country | US
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Telephone | 330-603-8534
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 ONONDAGO AVE
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City | AKRON
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State | OH
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Zip | 44305-1841
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Country | US
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Telephone | 419-905-6541
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-24-329320
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License Number State | OH
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