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General NPI Number Information
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NPI Number | 1487894572
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE AUTISM SERVICES AND EDUCATION, INC.
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 785 GRAND AVE SUITE 101
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City | CARLSBAD
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State | CA
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Zip | 92008-2370
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Country | US
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Telephone | 760-720-4964
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Fax | 760-720-5264
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Provider Business Mailing Address
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Address Line | 785 GRAND AVE SUITE 101
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City | CARLSBAD
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State | CA
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Zip | 92008-2370
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Country | US
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Telephone | 760-720-4964
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Fax | 760-720-5264
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CYNTHIA L NORALL
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Credential | LEP
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Telephone | 760-720-4964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | LEP 2058
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License Number State | CA
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