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General NPI Number Information
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NPI Number | 1669858908
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Entity Type | Individual
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Provider Name | ELIZABETH ANN HARTON B.C.B.A
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Gender | Female
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 5400 W PLANO PKWY STE 200
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City | PLANO
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State | TX
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Zip | 75093-4855
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Country | US
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Telephone | 972-587-2300
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Fax | 972-587-2304
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Provider Business Mailing Address
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Address Line | 5400 W PLANO PKWY STE 200
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City | PLANO
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State | TX
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Zip | 75093-4855
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Country | US
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Telephone | 972-587-2300
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Fax | 972-587-2304
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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 | 1-13-14425
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License Number State | CA
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