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General NPI Number Information
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NPI Number | 1699442236
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Entity Type | Organization
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Legal Business Name | ABA THERAPY CHILDREN'S INSTITUTE,LLC
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 6363 OVERSEAS HWY STE 6
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City | MARATHON
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State | FL
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Zip | 33050-2747
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Country | US
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Telephone | 786-901-5640
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Fax | 786-901-5641
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Provider Business Mailing Address
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Address Line | 6363 OVERSEAS HWY STE 6
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City | MARATHON
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State | FL
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Zip | 33050-2747
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Country | US
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Telephone | 786-901-5640
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Fax | 786-901-5641
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Authorized Official
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Title or Position | MANAGER
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Name | MABEL MARICHAL
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Credential |
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Telephone | 786-901-5640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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