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General NPI Number Information
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NPI Number | 1609733419
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Entity Type | Individual
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Provider Name | ANNA JARVIS BCABA
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Gender | Female
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 105 W PINE ST
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City | WYTHEVILLE
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State | VA
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Zip | 24382-1937
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Country | US
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Telephone | 804-523-6245
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Fax | 804-264-0835
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Provider Business Mailing Address
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Address Line | 5511 STAPLES MILL RD STE 102
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City | HENRICO
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State | VA
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Zip | 23228-5445
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Country | US
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Telephone | 804-523-6245
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Fax | 804-264-0835
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0134000662
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License Number State | VA
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