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General NPI Number Information
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NPI Number | 1639682602
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Entity Type | Individual
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Provider Name | EMILY ANN PRATT
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Gender | Female
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 9900 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32514-8124
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Country | US
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Telephone | 718-215-5311
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 HARBOUR GATES DR APT 40
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City | ANNAPOLIS
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State | MD
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Zip | 21401-2295
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Country | US
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Telephone | 267-266-2882
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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 | 1-17-27107
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License Number State | HI
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