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General NPI Number Information
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NPI Number | 1386064327
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Entity Type | Organization
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Legal Business Name | AUTISM EDUCATION AND RESEARCH INSTITUTE
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 200 RENAISSANCE DR STE 401, WARNER CENTER
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City | BUTLER
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State | PA
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Zip | 16001-7612
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Country | US
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Telephone | 724-850-1750
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Fax | 724-420-5318
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Provider Business Mailing Address
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Address Line | PO BOX 1786
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City | GREENSBURG
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State | PA
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Zip | 15601-6786
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Country | US
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Telephone | 724-850-1750
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Fax | 866-501-2374
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Authorized Official
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Title or Position | DIR OF CLINICAL & BUSINESS SYSTEMS
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Name | KAREN FRIDG
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Credential |
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Telephone | 724-850-1750
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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 | 442830
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License Number State | PA
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