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General NPI Number Information
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NPI Number | 1437409026
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Entity Type | Individual
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Provider Name | CARMEN MCGUINNESS BCBA-D
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Gender | Female
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Dates
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Enumeration Date | 09/11/2012
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 1301 S INTERNATIONAL PKWY STE 1005
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City | LAKE MARY
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State | FL
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Zip | 32746-1410
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Country | US
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Telephone | 321-422-4171
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 S INTERNATIONAL PKWY STE 1005
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City | LAKE MARY
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State | FL
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Zip | 32746-1410
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Country | US
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Telephone | 321-422-4171
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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 | 1-13-14988
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License Number State | FL
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