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General NPI Number Information
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NPI Number | 1477380491
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Entity Type | Organization
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Legal Business Name | APPLIED BEHAVIORAL INTERVENTION THERAPY INC
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Dates
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Enumeration Date | 09/14/2024
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Last Update Date | 09/14/2024
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Provider Practice Location Address
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Address Line | 3495 N HIATUS RD
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City | SUNRISE
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State | FL
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Zip | 33351-7516
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Country | US
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Telephone | 954-749-6869
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Fax |
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Provider Business Mailing Address
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Address Line | 3495 N HIATUS RD
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City | SUNRISE
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State | FL
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Zip | 33351-7516
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Country | US
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Telephone | 954-749-6869
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ROBERT B SAMAREL
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Credential |
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Telephone | 561-827-1850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number |
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License Number State |
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