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General NPI Number Information
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NPI Number | 1730440827
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Entity Type | Organization
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Legal Business Name | ABA SOLUTIONS BY PAM ELLIS, LLC
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 06/05/2012
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Provider Practice Location Address
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Address Line | 5504 JIM AVE
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City | KILLEEN
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State | TX
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Zip | 76549-2555
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Country | US
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Telephone | 580-483-4554
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Fax |
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Provider Business Mailing Address
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Address Line | 5504 JIM AVE
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City | KILLEEN
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State | TX
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Zip | 76549-2555
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Country | US
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Telephone | 580-483-4554
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DENNIS GRANT ELLIS JR.
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Credential |
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Telephone | 580-483-4554
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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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