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General NPI Number Information
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NPI Number | 1689333189
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Entity Type | Individual
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Provider Name | JULIA M CHANCEY BCABA
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Gender | Female
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Dates
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Enumeration Date | 12/12/2021
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 3910 N US HIGHWAY 301
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City | TAMPA
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State | FL
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Zip | 33619-1290
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Country | US
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Telephone | 407-317-5429
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Fax | 321-800-7201
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Provider Business Mailing Address
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Address Line | 1509 E COLONIAL DR STE 300
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City | ORLANDO
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State | FL
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Zip | 32803-4729
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Country | US
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Telephone | 407-317-5429
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Fax | 321-800-7201
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-22-14084
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License Number State | FL
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