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General NPI Number Information
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NPI Number | 1437557873
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Entity Type | Individual
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Provider Name | GEOFFREY MUNCH M.A., BCBA
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Gender | Male
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Dates
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Enumeration Date | 12/17/2014
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Last Update Date | 12/17/2014
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Provider Practice Location Address
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Address Line | 2555 3RD ST
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City | SACRAMENTO
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State | CA
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Zip | 95818-1100
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Country | US
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Telephone | 310-847-0096
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Fax |
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Provider Business Mailing Address
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Address Line | 801 52ND ST REAR
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City | SACRAMENTO
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State | CA
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Zip | 95819-3558
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Country | US
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Telephone | 209-712-4423
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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 | 1-14-10013
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License Number State | CA
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