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General NPI Number Information
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NPI Number | 1407484884
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Entity Type | Organization
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Legal Business Name | T3L, LLC
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 1000 WOODCOCK RD STE 100A
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City | ORLANDO
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State | FL
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Zip | 32803-3511
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Country | US
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Telephone | 888-489-1691
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 WOODCOCK RD STE 100A
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City | ORLANDO
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State | FL
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Zip | 32803-3511
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Country | US
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Telephone | 888-489-1691
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WARREN BATES
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Credential |
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Telephone | 321-480-4044
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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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