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General NPI Number Information
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NPI Number | 1285070300
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Entity Type | Organization
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Legal Business Name | MEREDITH ANN ALBIN RN, BCABA, PLLC
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 1509 BROOKWOOD AVE SUITE A
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City | DUNCAN
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State | OK
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Zip | 73533-1316
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Country | US
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Telephone | 580-786-4538
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Fax | 580-606-6642
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Provider Business Mailing Address
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Address Line | 1509 BROOKWOOD AVE SUITE A
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City | DUNCAN
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State | OK
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Zip | 73533-1316
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Country | US
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Telephone | 580-786-4538
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Fax | 580-606-6642
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MEREDITH ANN ALBIN
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Credential | RN, BCABA
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Telephone | 580-786-4538
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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 | 0-11-4294
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License Number State | OK
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