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General NPI Number Information
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NPI Number | 1487188793
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Entity Type | Individual
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Provider Name | KATRINA DULL B.A.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 807 LAWN AVE
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1549
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Country | US
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Telephone | 215-257-6551
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Fax | 215-257-9347
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Provider Business Mailing Address
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Address Line | 2258 JUDY LN
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City | COOPERSBURG
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State | PA
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Zip | 18036-3752
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Country | US
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Telephone | 484-547-7165
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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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