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General NPI Number Information
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NPI Number | 1548654064
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Entity Type | Organization
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Legal Business Name | A STEP AHEAD AUTISM SOLUTIONS
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 4610 25TH ST
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City | COLUMBUS
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State | IN
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Zip | 47203-3239
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Country | US
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Telephone | 765-628-7400
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Fax | 765-865-8549
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Provider Business Mailing Address
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Address Line | 4610 25TH ST
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City | COLUMBUS
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State | IN
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Zip | 47203-3239
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Country | US
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Telephone | 765-628-7400
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Fax | 765-865-8549
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Authorized Official
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Title or Position | INSURANCE SUPERVISOR
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Name | MAURA JANSSEN
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Credential |
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Telephone | 765-628-7400
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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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