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General NPI Number Information
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NPI Number | 1609344050
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Entity Type | Individual
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Provider Name | ALISHA LYNN GALICZYNSKI MA, BSL
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Gender | Female
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Dates
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Enumeration Date | 11/04/2018
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Last Update Date | 11/04/2018
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Provider Practice Location Address
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Address Line | 10501 DRUMMOND RD
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City | PHILADELPHIA
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State | PA
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Zip | 19154-3807
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Country | US
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Telephone | 215-613-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 S CARLISLE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145-4419
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Country | US
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Telephone | 215-490-2347
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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 | BH003917
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License Number State | PA
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