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General NPI Number Information
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NPI Number | 1255986352
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Entity Type | Individual
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Provider Name | TEVIN YI
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Gender | Male
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 205 BURLINGTON RD
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City | BEDFORD
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State | MA
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Zip | 01730-1406
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Country | US
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Telephone | 781-862-3600
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Fax | 781-275-7205
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Provider Business Mailing Address
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Address Line | 205 BURLINGTON RD
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City | BEDFORD
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State | MA
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Zip | 01730-1406
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Country | US
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Telephone | 781-862-3600
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Fax | 781-275-7205
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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 | 1-22-58266
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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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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