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General NPI Number Information
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NPI Number | 1407677255
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Entity Type | Individual
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Provider Name | ANA G SOTO APONTE BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 1920 BRIARCLIFF RD
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City | ATLANTA
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State | GA
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Zip | 30329
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Country | US
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Telephone | 404-785-5737
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Fax |
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Provider Business Mailing Address
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Address Line | 210 16TH ST NW
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City | ATLANTA
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State | GA
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Zip | 30363
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Country | US
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Telephone | 404-316-9647
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Fax |
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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 | 1-24-75375
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License Number State | GA
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