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General NPI Number Information
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NPI Number | 1740085158
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Entity Type | Organization
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Legal Business Name | HIDDEN GEMS ABA OH LLC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 470 OLDE WORTHINGTON RD STE 200
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City | WESTERVILLE
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State | OH
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Zip | 43082-9127
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Country | US
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Telephone | 201-500-9915
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Fax |
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Provider Business Mailing Address
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Address Line | 600 E CRESCENT AVE STE 109
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City | UPPER SADDLE RIVER
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State | NJ
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Zip | 07458-1846
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YAKOV MORGENSTERN
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Credential |
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Telephone | 201-500-9915
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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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