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General NPI Number Information
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NPI Number | 1275049892
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Entity Type | Organization
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Legal Business Name | STEPHANIE M. HADLEY
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 12/19/2017
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Provider Practice Location Address
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Address Line | 760 LYNNHAVEN PKWY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7325
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Country | US
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Telephone | 757-667-0660
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Fax | 877-727-2292
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Provider Business Mailing Address
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Address Line | 933 NORTHWOOD DR
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City | CHESAPEAKE
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State | VA
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Zip | 23322-8723
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BCABA
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Name | BETHANY ANN SATTIE
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Credential | B.S.ED.
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Telephone | 757-667-0660
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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 |
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License Number State | VA
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