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General NPI Number Information
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NPI Number | 1700306008
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Entity Type | Individual
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Provider Name | CHELSEA VICTORIA SMITH MS, BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3744 W CHESTER PIKE
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-3224
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Country | US
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Telephone | 610-356-4749
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Fax |
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Provider Business Mailing Address
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Address Line | 1167 W BALTIMORE PIKE STE 228
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City | MEDIA
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State | PA
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Zip | 19063-5127
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Country | US
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Telephone | 610-356-4749
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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 |
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License Number State |
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