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General NPI Number Information
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NPI Number | 1720627532
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Entity Type | Organization
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Legal Business Name | LANTERN LEARNING SOLUTIONS, LLC
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Dates
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Enumeration Date | 12/26/2019
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Last Update Date | 12/26/2019
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Provider Practice Location Address
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Address Line | 936 SW 1ST AVE # 433
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City | MIAMI
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State | FL
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Zip | 33130-4520
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Country | US
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Telephone | 805-252-7770
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Fax | 877-794-7404
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Provider Business Mailing Address
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Address Line | 936 SW 1ST AVENUE #433
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City | MIAMI
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State | FL
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Zip | 33130-4520
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Country | US
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Telephone | 805-252-7770
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Fax | 877-794-7404
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | TANYA SCHWABE
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Credential |
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Telephone | 248-721-0405
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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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