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General NPI Number Information
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NPI Number | 1619686318
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Entity Type | Individual
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Provider Name | ALISON MARIE CHIN
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Gender | Female
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 1212 N SAN DIMAS CANYON RD
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City | SAN DIMAS
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State | CA
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Zip | 91773-1223
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Country | US
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Telephone | 626-345-6455
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Fax |
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Provider Business Mailing Address
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Address Line | 641 W ROUTE 66 APT 318
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City | GLENDORA
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State | CA
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Zip | 91740-4149
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Country | US
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Telephone | 626-675-8225
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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