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General NPI Number Information
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NPI Number | 1689485302
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Entity Type | Individual
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Provider Name | WILLIAM STEVENS BC
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Gender | Male
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1821 OREGON PIKE STE 2
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City | LANCASTER
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State | PA
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Zip | 17601-6466
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Country | US
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Telephone | 888-805-8206
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Fax |
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Provider Business Mailing Address
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Address Line | 132 LOCUST ST APT 205
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City | COLUMBIA
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State | PA
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Zip | 17512-1169
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Country | US
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Telephone | 717-885-7351
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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 | BH007380
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License Number State | PA
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