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General NPI Number Information
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NPI Number | 1588972327
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Entity Type | Organization
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Legal Business Name | AGS BUSINESS CORP
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 900 E ATLANTIC BLVD #12
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City | POMPANO BEACH
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State | FL
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Zip | 33060-7371
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Country | US
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Telephone | 954-941-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 900 E ATLANTIC BLVD #12
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City | POMPANO BEACH
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State | FL
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Zip | 33060-7371
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Country | US
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Telephone | 954-941-2323
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / DIRECTOR OF OPERATIONS
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Name | DR. MARIA CAMMARATA
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Credential | JD
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Telephone | 954-941-2323
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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 | FL
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