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General NPI Number Information
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NPI Number | 1437887783
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Entity Type | Organization
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Legal Business Name | GLOBAL CENTER FOR AUTISM SERVICES, LLC
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Dates
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Enumeration Date | 08/12/2022
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 4421 NICOLE DR
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City | LANHAM
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State | MD
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Zip | 20706-4352
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Country | US
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Telephone | 301-909-9766
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Fax |
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Provider Business Mailing Address
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Address Line | 4485 FORBES BLVD
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City | LANHAM
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State | MD
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Zip | 20706-4354
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Country | US
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Telephone | 301-429-2900
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Fax | 443-458-7242
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SALVADOR TAN
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Credential |
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Telephone | 301-429-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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