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General NPI Number Information
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NPI Number | 1659947083
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Entity Type | Individual
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Provider Name | MARGARET LINN SMITH
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Gender | Female
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 44 ROUTE 11
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City | SHAMOKIN DAM
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State | PA
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Zip | 17876
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Country | US
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Telephone | 570-802-3099
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Fax |
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Provider Business Mailing Address
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Address Line | 640 FREEDOM BUSINESS CTR DR STE 220
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1376
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Country | US
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Telephone |
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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 | BH007459
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License Number State | PA
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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 |
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License Number State |
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