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General NPI Number Information
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NPI Number | 1720315468
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Entity Type | Organization
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Legal Business Name | PARADIGM PATHWAY CONSULTING
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Dates
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Enumeration Date | 11/16/2009
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Last Update Date | 11/16/2009
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Provider Practice Location Address
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Address Line | 3453 FOXFIELD DR
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City | CHESAPEAKE
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State | VA
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Zip | 23323-1252
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Country | US
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Telephone | 757-286-2786
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Fax | 757-966-7872
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Provider Business Mailing Address
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Address Line | 3453 FOXFIELD DR
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City | CHESAPEAKE
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State | VA
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Zip | 23323-1252
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Country | US
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Telephone | 757-286-2786
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Fax | 757-966-7872
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. GLADYS MARIA HILL
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Credential | ED.D., BCBA-D
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Telephone | 757-286-2786
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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 | 1095108
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License Number State | VA
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