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General NPI Number Information
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NPI Number | 1477754307
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Entity Type | Individual
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Provider Name | MRS. LAVONDA DORRAY SATTERFIELD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 340 DOWNING AVE
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City | BOWLING GREEN
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State | KY
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Zip | 42101-0574
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Country | US
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Telephone | 270-846-3753
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Fax | 270-782-8826
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Provider Business Mailing Address
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Address Line | 340 DOWNING AVE
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City | BOWLING GREEN
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State | KY
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Zip | 42101-0574
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Country | US
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Telephone | 270-799-6161
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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 | 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 | 222Q00000X
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Taxonomy Name | Developmental 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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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