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General NPI Number Information
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NPI Number | 1427594217
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Entity Type | Individual
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Provider Name | NOEL MCQUEEN
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Gender | Female
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 5575 S SEMORAN BLVD SUITE 24
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City | ORLANDO
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State | FL
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Zip | 32822-1747
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Country | US
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Telephone | 321-400-5254
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Fax | 407-386-7454
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Provider Business Mailing Address
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Address Line | 5575 S SEMORAN BLVD SUITE 24
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City | ORLANDO
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State | FL
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Zip | 32822-1747
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Country | US
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Telephone | 321-400-5254
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Fax | 407-386-7454
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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 | 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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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-23-66235
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License Number State | TX
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