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General NPI Number Information
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NPI Number | 1407310147
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Entity Type | Organization
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Legal Business Name | AHADI ANGELS INCORPORATED
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 405 WINTERFIELD DR # 204
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City | ROUND ROCK
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State | TX
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Zip | 78634
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Country | US
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Telephone | 512-586-9406
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Fax |
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Provider Business Mailing Address
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Address Line | 405 WINTERFIELD DR # 204
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City | ROUND ROCK
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State | TX
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Zip | 78634
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Country | US
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Telephone | 512-586-9406
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ASINAH MACHARIA
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Credential |
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Telephone | 512-586-9406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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