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General NPI Number Information
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NPI Number | 1538600291
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Entity Type | Individual
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Provider Name | DYLAN EDWARD HALL BCBA
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Gender | Male
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 105 HMS STAYNER DR
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City | HINGHAM
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State | MA
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Zip | 02043-1664
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Country | US
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Telephone | 617-957-6451
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Fax | 781-385-7324
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Provider Business Mailing Address
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Address Line | 105 HMS STAYNER DR
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City | HINGHAM
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State | MA
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Zip | 02043-1664
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Country | US
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Telephone | 617-957-6451
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Fax | 781-385-7324
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | LABA1745
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-16-22151
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License Number State |
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