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General NPI Number Information
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NPI Number | 1265903405
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Entity Type | Individual
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Provider Name | MARGARET DEANNA DIPPOLD BCBA
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Gender | Female
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1409 W CARROLL AVE
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City | CHICAGO
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State | IL
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Zip | 60607-1105
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Country | US
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Telephone | 312-733-0883
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 S MICHIGAN AVE APT 202
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City | CHICAGO
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State | IL
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Zip | 60616-4749
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Country | US
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Telephone | 516-724-5281
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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 | 1-20-43606
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License Number State | FL
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