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General NPI Number Information
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NPI Number | 1679213227
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Entity Type | Organization
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Legal Business Name | BRANCH & ASSOCIATES
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 2750 LAURENS CIR SW
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City | ATLANTA
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State | GA
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Zip | 30311-3700
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Country | US
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Telephone | 323-385-7761
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Fax |
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Provider Business Mailing Address
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Address Line | 2750 LAURENS CIR SW
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City | ATLANTA
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State | GA
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Zip | 30311-3700
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Country | US
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Telephone | 323-385-7761
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Fax |
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Authorized Official
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Title or Position | BCBA
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Name | YASMIN WALI
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Credential | BCBA
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Telephone | 323-385-7761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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