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General NPI Number Information
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NPI Number | 1720790389
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Entity Type | Individual
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Provider Name | CLAUDIA SARO
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Gender | Female
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 2104 GREENBRIAR DR
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City | SOUTHLAKE
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State | TX
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Zip | 76092-8355
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Country | US
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Telephone | 817-422-9022
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Fax |
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Provider Business Mailing Address
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Address Line | 8855 N ELMORE ST
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City | NILES
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State | IL
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Zip | 60714-1738
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Country | US
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Telephone | 773-341-6711
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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