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General NPI Number Information
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NPI Number | 1548086192
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Entity Type | Organization
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Legal Business Name | YES ABA OK LLC
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 100 NE 5TH ST FL 1
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-2228
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Country | US
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Telephone | 347-699-2092
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 995
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City | LAKEWOOD
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State | NJ
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Zip | 08701-0995
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MORDECHAI SZANZER
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Credential |
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Telephone | 347-699-2092
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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 |
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License Number State |
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