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General NPI Number Information
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NPI Number | 1669330908
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Entity Type | Individual
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Provider Name | MOAED A ABD
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Gender | Male
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 20225 ANN ARBOR TRL
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-2690
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Country | US
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Telephone | 248-982-6722
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Fax |
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Provider Business Mailing Address
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Address Line | 4521 LANGDON DR APT 204
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City | MORRISVILLE
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State | NC
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Zip | 27560-5608
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Country | US
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Telephone | 248-982-6722
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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 |
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License Number State |
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