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General NPI Number Information
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NPI Number | 1396352779
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Entity Type | Organization
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Legal Business Name | DORDT UNIVERSITY
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 1124 7TH AVE NE
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City | SIOUX CENTER
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State | IA
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Zip | 51250-2118
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Country | US
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Telephone | 712-722-4850
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Fax |
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Provider Business Mailing Address
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Address Line | 700 7TH ST NE
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City | SIOUX CENTER
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State | IA
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Zip | 51250-1671
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SARAH M HAWLEY
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Credential | BCBA
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Telephone | 712-722-6000
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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