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General NPI Number Information
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NPI Number | 1275994873
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Entity Type | Individual
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Provider Name | SAMANTHA PARNHAM BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/10/2016
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Last Update Date | 03/10/2016
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Provider Practice Location Address
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Address Line | 1558 B ST SUITE 201
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City | HAYWARD
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State | CA
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Zip | 94541-3052
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Country | US
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Telephone | 702-533-2577
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Fax |
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Provider Business Mailing Address
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Address Line | 7925 EARL ST
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City | OAKLAND
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State | CA
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Zip | 94605-3631
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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 |
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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 | 1-15-19050
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License Number State | CA
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