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General NPI Number Information
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NPI Number | 1306234653
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Entity Type | Organization
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Legal Business Name | THE KNAPP CENTER FOR CHILDHOOD DEVELOPMENT
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Dates
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Enumeration Date | 01/08/2015
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 950 WINDHAM CT STE 4
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City | BOARDMAN
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State | OH
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Zip | 44512-5083
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Country | US
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Telephone | 330-306-8487
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Fax |
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Provider Business Mailing Address
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Address Line | 1516 GREENSLEAVE CIR
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City | HUBBARD
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State | OH
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Zip | 44425-2875
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Country | US
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Telephone | 220-306-8487
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR ANALYST
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Name | MRS. MICHALINA JONES
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Credential | MSED
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Telephone | 330-306-8487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1106833
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License Number State | PA
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