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General NPI Number Information
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NPI Number | 1396136172
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Entity Type | Individual
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Provider Name | DEBORAH NEWMAN BCBA
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Gender | Female
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Dates
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Enumeration Date | 02/14/2015
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 4027 MEADOWBROOK BLVD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-3859
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Country | US
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Telephone | 216-246-9670
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Fax | 216-371-1426
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Provider Business Mailing Address
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Address Line | 4027 MEADOWBROOK BLVD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-3859
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Country | US
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Telephone | 216-246-9670
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Fax | 216-371-1426
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 81
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License Number State | OH
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