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General NPI Number Information
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NPI Number | 1679170906
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Entity Type | Individual
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Provider Name | BRIAN MICHAEL CLINE BCBA, LBA
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Gender | Male
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 302 MITCHELL ST
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City | PETAL
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State | MS
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Zip | 39465-2414
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Country | US
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Telephone | 601-331-9019
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Fax |
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Provider Business Mailing Address
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Address Line | 302 MITCHELL ST
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City | PETAL
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State | MS
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Zip | 39465-2414
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Country | US
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Telephone | 601-331-9019
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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 | 1-20-44952
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License Number State |
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