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General NPI Number Information
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NPI Number | 1629662572
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Entity Type | Individual
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Provider Name | DARIEN JADAIAH LOVE FRANKLIN
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Gender | Female
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Dates
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Enumeration Date | 02/22/2021
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 1915 HOWARD RD STE B&C
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City | MADERA
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State | CA
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Zip | 93637-5163
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Country | US
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Telephone | 559-330-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 3451 WINTER WAY
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City | MADERA
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State | CA
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Zip | 93637-5957
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Country | US
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Telephone | 559-706-5518
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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 | Y4466444
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | Y4466444
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License Number State | CA
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