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General NPI Number Information
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NPI Number | 1255829164
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Entity Type | Individual
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Provider Name | JORDANN DOOLITTLE BCABA
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Gender | Female
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 417 CHATHAM SQUARE OFFICE PARK
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-2561
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Country | US
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Telephone | 540-479-3889
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Fax | 540-479-3946
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Provider Business Mailing Address
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Address Line | 904 PRINCESS ANNE ST STE 407
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-5804
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Country | US
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Telephone | 540-479-3889
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Fax | 540-479-3946
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0134000215
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0133003344
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License Number State | VA
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