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General NPI Number Information
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NPI Number | 1598211872
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Entity Type | Individual
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Provider Name | KIEVA HRANCHUK BCBA-D
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Gender | Female
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 22555 N MILLER RD SUITE 110
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4944
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Country | US
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Telephone | 480-410-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 8311 E VIA DE VENTURA APT 2005
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-6600
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Country | US
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Telephone | 917-613-5042
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Fax |
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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 | 249
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License Number State | AZ
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