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General NPI Number Information
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NPI Number | 1669899035
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Entity Type | Individual
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Provider Name | MAGDALENA CASIMIRO M.ED., BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 03/24/2014
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 1890 BARNES BLVD SW
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City | TUMWATER
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State | WA
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Zip | 98512-1435
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Country | US
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Telephone | 360-915-6868
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Fax | 360-547-6470
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Provider Business Mailing Address
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Address Line | PO BOX 859
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City | RAYMOND
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State | WA
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Zip | 98577-0859
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Country | US
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Telephone | 360-915-6868
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Fax | 360-547-6470
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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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