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General NPI Number Information
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NPI Number | 1326765736
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Entity Type | Organization
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Legal Business Name | EMRYN, LLC
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 1079 S HIAWASSEE RD APT 1122
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City | ORLANDO
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State | FL
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Zip | 32835-1733
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Country | US
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Telephone | 407-717-5254
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Fax |
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Provider Business Mailing Address
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Address Line | 1079 S HIAWASSEE RD APT 1122
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City | ORLANDO
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State | FL
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Zip | 32835-1733
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Country | US
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Telephone | 407-717-5254
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MISS CYNTHIA E SANTOS
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Credential | M.A., BCBA
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Telephone | 407-717-5254
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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 |
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