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General NPI Number Information
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NPI Number | 1669718466
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Entity Type | Organization
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Legal Business Name | CONNECTING DOT BY DOT INC
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Dates
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Enumeration Date | 12/25/2012
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Last Update Date | 12/25/2012
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Provider Practice Location Address
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Address Line | 210 N CITRUS AVE
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City | COVINA
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State | CA
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Zip | 91723-2060
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Country | US
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Telephone | 818-458-5836
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2095
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City | COVINA
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State | CA
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Zip | 91722-8095
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Country | US
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Telephone | 818-458-5836
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | VOSOGH MARYAM
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Credential |
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Telephone | 818-458-5836
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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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