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General NPI Number Information
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NPI Number | 1316229131
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Entity Type | Organization
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Legal Business Name | WEE CAN AUTISM AND BEHAVIORAL CONSULTATION, LLC.
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Dates
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Enumeration Date | 09/19/2011
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Last Update Date | 09/19/2011
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Provider Practice Location Address
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Address Line | 170 PRATHER RD #2
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City | SOMERSET
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State | KY
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Zip | 42503-6307
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Country | US
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Telephone | 606-416-9220
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Fax |
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Provider Business Mailing Address
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Address Line | 170 PRATHER RD #2
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City | SOMERSET
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State | KY
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Zip | 42503-6307
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Country | US
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Telephone | 606-416-9220
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. SUZETTE MORRISON
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Credential |
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Telephone | 606-416-9220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | KY
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