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General NPI Number Information
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NPI Number | 1427337039
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Entity Type | Organization
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Legal Business Name | ABA OF NORTH TEXAS, LLC
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 05/03/2019
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Provider Practice Location Address
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Address Line | 1410 14TH ST
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City | PLANO
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State | TX
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Zip | 75074-6302
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Country | US
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Telephone | 214-208-0629
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 14TH ST
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City | PLANO
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State | TX
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Zip | 75074-6302
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Country | US
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Telephone | 214-208-0629
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JESSIE FEHRMAN
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Credential |
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Telephone | 56-271-2690
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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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