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General NPI Number Information
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NPI Number | 1225937212
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Entity Type | Individual
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Provider Name | AUSTIN JAMES CRISPIN
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Gender | Male
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 7010 214TH RD
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City | EFFINGHAM
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State | KS
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Zip | 66023-5129
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Country | US
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Telephone | 253-254-8004
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Fax |
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Provider Business Mailing Address
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Address Line | 827 LOCUST ST
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City | NORTONVILLE
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State | KS
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Zip | 66060-4930
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Country | US
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Telephone | 802-380-5435
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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 | RBT-26-2864069
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License Number State | KS
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