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General NPI Number Information
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NPI Number | 1669057071
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Entity Type | Individual
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Provider Name | SUSAN STEWART-BAYNE BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 634 BROWN AVE N/A
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City | TURTLE CREEK
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State | PA
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Zip | 15145
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Country | US
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Telephone | 412-823-5293
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Fax | 412-823-5294
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Provider Business Mailing Address
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Address Line | 634 BROWN AVE N/A
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City | TURTLE CREEK
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State | PA
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Zip | 15145
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Country | US
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Telephone | 412-823-5293
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Fax | 412-823-5294
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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 |
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License Number State |
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